Provider Demographics
NPI:1265620843
Name:ROW, CINDY LYN
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:LYN
Last Name:ROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 GREENBRIER CIR
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-5403
Mailing Address - Country:US
Mailing Address - Phone:918-342-5578
Mailing Address - Fax:
Practice Address - Street 1:17599 S HWY 88
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-0801
Practice Address - Country:US
Practice Address - Phone:918-342-9530
Practice Address - Fax:918-342-9533
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist