Basic Information
Provider Information
NPI: 1003141821
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HORN
FirstName: LINDSAY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherCredential:  
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Mailing Information
Address1: 4436 NW 50TH ST
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731122212
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1140 N HUDSON AVE
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731033918
CountryCode: US
TelephoneNumber: 4058582800
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/13/2009
LastUpdateDate: 10/13/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X2084P0800XOKY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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