Burson, Lynne Virginia

Burson, Lynne Virginia is an individual health care provider with primary practice located at 4444 E 41St St 3Rd Floor Ste B, Tulsa OK 74135-2527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Burson, Lynne Virginia can be contacted via phone (918) 619-4200.

Contact Information

Primary practice address
4444 E 41St St 3Rd Floor Ste B Tulsa OK 74135-2527
Phone: (918) 619-4200
Fax: (918) 619-4216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R0063474 Oklahoma

Profile Details

NPI number 1912977372
LBN Legal business name Burson, Lynne Virginia
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Nov 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912977372 NPPES
Oklahoma MEDICAID 100010150A

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