Provider Demographics
NPI:1407289911
Name:HAMILTON, LINDSEY NICOLE (BA)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:NICOLE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:NICOLE
Other - Last Name:DAVIDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OK
Mailing Address - Zip Code:73734-0046
Mailing Address - Country:US
Mailing Address - Phone:580-927-5896
Mailing Address - Fax:
Practice Address - Street 1:1600 E US HIGHWAY 66
Practice Address - Street 2:SUITE 5
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-5787
Practice Address - Country:US
Practice Address - Phone:405-262-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator