NPI 1255731576
Marissa Lynn
Practice location
- Address
- 1219 K St NW, Ardmore, OK 73401-1801
- Phone
- (580) 798-4523
- Mailing address
- 1217 Cruce St, Ardmore, OK 73401-5745
Registered specialties
Substance Use Disorder Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1255731576
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Aug 2014
- Record last updated
- 25 Aug 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.