Provider Demographics
NPI:1679577696
Name:FLAMING, LINDSAY M (ARNP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:FLAMING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16925 NE 23RD ST STE 103
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-8410
Mailing Address - Country:US
Mailing Address - Phone:405-620-0049
Mailing Address - Fax:405-281-5726
Practice Address - Street 1:16925 NE 23RD ST STE 103
Practice Address - Street 2:
Practice Address - City:CHOCTAW
Practice Address - State:OK
Practice Address - Zip Code:73020-8410
Practice Address - Country:US
Practice Address - Phone:405-620-0049
Practice Address - Fax:405-281-5726
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0076575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200065650AMedicaid
OK247606806Medicare PIN
OKOK402467Medicare PIN