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Edward Earl Lindsey Jr.

Peer Specialist in Wagoner, OK. Individual provider (NPI-1).

NPI number1275210312
StatusActive
Last updated in NPPESJan 23, 2026

Details

NPI
1275210312
Entity type
Individual (NPI-1)
Name
Mr. Edward Earl Lindsey Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2023
Certification date
Jan 23, 2026
Last updated
Jan 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

215 Ne 1st St
Wagoner, OK 74467-4439

Phone 918-201-4333

Mailing address

32129 E 721 Rd
Wagoner, OK 74467-7390

Phone 501-467-4758

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