Provider Demographics
NPI:1386944056
Name:HILLS, LYNDA LUANN (BS MED)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:LUANN
Last Name:HILLS
Suffix:
Gender:F
Credentials:BS MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8129 NW 44TH CIR
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-2205
Mailing Address - Country:US
Mailing Address - Phone:405-255-4759
Mailing Address - Fax:
Practice Address - Street 1:8129 NW 44TH CIR
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-2205
Practice Address - Country:US
Practice Address - Phone:405-255-4759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional