Surgery Center Of Lawton Professional Llc

NPI 1164478764 - Clinic/Center - 261QA1903X

NPI Details
NPI 1164478764
Enumeration Date 05/25/2006
Last Updated 03/27/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RITA RITA
Position ADMINISTRATOR
Phone (580) 351-0500
Fax (580) 351-0500
Practice Location
3617 W GORE BLVD
SUITE D
LAWTON OK, 73505-6373, US
Phone (580) 351-0500
Fax (580) 351-0500
Business Location
3617 W GORE BLVD
SUITE D
LAWTON OK, 73505-6373, US
Phone (580) 351-0500
Fax (580) 351-0500
Toxanomy
Taxonomy Code 261QA1903X
License State Oklahoma
License Number 0030
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According to our database, Surgery Center Of Lawton Professional Llc NPI is 1164478764, taxonomy code is 261QA1903X and license number is 0030, license state is located at Oklahoma. Surgery Center Of Lawton Professional Llc physically located at 3617 W Gore Blvd, Lawton OK, 73505-6373. NPI Number 1033115704 has the healthcare provider type.

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1164478764 NPI number is provided on an as is basis without warranty of any kind. 1164478764 is maintained by the National Plan & Provider Enumeration System. The contents of Surgery Center Of Lawton Professional Llc are for informational purposes only.