Basic Information
| Provider Information | |||||||||
| NPI: | 1497953665 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEATON | ||||||||
| FirstName: | LUCIAN | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | BSN RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7924 CHOUTEAU SPGS CIR RD | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730514800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4053616697 | ||||||||
| FaxNumber: | 4058720949 | ||||||||
| Practice Location | |||||||||
| Address1: | 909 ALAMEDA ST | ||||||||
| Address2: | |||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730715229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4053605100 | ||||||||
| FaxNumber: | 4055733962 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2007 | ||||||||
| LastUpdateDate: | 07/10/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0807X | R0049936 | OK | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Child & Adolescent | 163WP0809X | R0049936 | OK | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult |
No ID Information.