Steven Lane Hawley, CCP LP
Technician, Other in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1487719902
StatusActive
Last updated in NPPESJun 7, 2011
Details
- NPI
- 1487719902
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven Lane Hawley
- Credential
- CCP LP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Jun 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | LP 16 | OK | Yes |
Practice location
3601 N May AveSuite C
Oklahoma City, OK 73112-6641
Phone 405-604-5613 · Fax 405-601-3750
Mailing address
Po Box 128153601 N May Avenue Suite C
Oklahoma City, OK 73157-2815
Phone 405-604-5613 · Fax 405-601-3750
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