Lawton Psychiatry Services, LLC
Psychiatry & Neurology, Psychiatry in Lawton, OK. Organization (NPI-2).
NPI number1861789331
StatusActive
Last updated in NPPESJul 6, 2011
Details
- NPI
- 1861789331
- Entity type
- Organization (NPI-2)
- Legal business name
- Lawton Psychiatry Services, LLC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2011
- Last updated
- Jul 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
605 W Gore Blvd Ste 1Lawton, OK 73501-3732
Phone 580-357-7332 · Fax 580-357-7455
Mailing address
605 W Gore Blvd Ste 1Lawton, OK 73501-3732
Phone 580-357-7332 · Fax 580-357-7455
Authorized official
Tammie Blackburn
Medical Billing
5803573034
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