Lafarlette, Amanda Lynn

Lafarlette, Amanda Lynn is an individual health care provider with primary practice located at 411 N Randall Ave , Elk City OK 73644-4127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lafarlette, Amanda Lynn can be contacted via phone (580) 243-2273.

Contact Information

Primary practice address
411 N Randall Ave Elk City OK 73644-4127
Phone: (580) 243-2273
Fax: (580) 243-2832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0044560 Oklahoma

Profile Details

NPI number 1255343638
LBN Legal business name Lafarlette, Amanda Lynn
Credentials APRNC-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 8th, 2014 - about 12 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 1255343638 NPPES
Oklahoma MEDICAID 200081520B

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