Basic Information
Provider Information
NPI: 1841851672
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMAH
FirstName: LYNN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4400 N LINCOLN BLVD
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731055104
CountryCode: US
TelephoneNumber: 4054247711
FaxNumber:  
Practice Location
Address1: 4400 N LINCOLN BLVD
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731055104
CountryCode: US
TelephoneNumber: 4054247711
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/24/2019
LastUpdateDate: 09/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X114579OKY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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