Provider Demographics
NPI:1871562447
Name:FRAME, LYNN E (MD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:E
Last Name:FRAME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 E. 39TH
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105
Mailing Address - Country:US
Mailing Address - Phone:918-749-1413
Mailing Address - Fax:
Practice Address - Street 1:1725 E 19TH ST
Practice Address - Street 2:STE. 401
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5437
Practice Address - Country:US
Practice Address - Phone:918-749-1413
Practice Address - Fax:918-748-7511
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10900207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100111640AMedicaid
OK100111640AMedicaid
OK247804501Medicare PIN
OK247804501Medicare PIN