Provider Demographics
NPI:1730366550
Name:DILBECK, LINDSAY PAYTON (PA)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:PAYTON
Last Name:DILBECK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4152 E 48TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-4739
Mailing Address - Country:US
Mailing Address - Phone:918-664-9881
Mailing Address - Fax:
Practice Address - Street 1:9940 E 81ST ST
Practice Address - Street 2:STE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4501
Practice Address - Country:US
Practice Address - Phone:918-664-9881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1695363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant