Basic Information
| Provider Information | |||||||||
| NPI: | 1265620843 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROW | ||||||||
| FirstName: | CINDY | ||||||||
| MiddleName: | LYN | ||||||||
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| Credential: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 2106 GREENBRIER CIR | ||||||||
| Address2: | |||||||||
| City: | CLAREMORE | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740175403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9183425578 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 17599 S HWY 88 | ||||||||
| Address2: | |||||||||
| City: | CLAREMORE | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740170801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9183429530 | ||||||||
| FaxNumber: | 9183429533 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2007 | ||||||||
| LastUpdateDate: | 10/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | Y | Other Service Providers | Specialist |
No ID Information.