NPI 1720003189 · live from the CMS NPI Registry
Lynda Dianne Bentley, PA
Physician Assistant in Cheyenne, OK. National Provider Identifier 1720003189, active.
NPI record
| NPI | 1720003189 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 101 Fk Buster Ave, Cheyenne, OK 73628 |
| Practice phone | 580-497-3333 |
| Mailing address | Po Box 490, Cheyenne, OK 73628 |
| Enumerated | July 13, 2006 |
| Last updated | April 18, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA912 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.