Lynn Davis

Individual provider Active NPI Community Health Worker · Purcell, OK

NPI 1801317987 · NPPES record last updated Jun 29, 2017

Key facts

NPI
1801317987
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
112 W Main St
Purcell, OK 73080-4220
Phone
(405) 527-1785
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

112 W Main St
Purcell, OK 73080-4220

Mailing address

PO Box 662
Purcell, OK 73080-0662
Phone (405) 527-1785

Other providers in Purcell, OK

All providers in Purcell, OK · Community Health Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.