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EAST LAWTON NEIGHBORHOOD FAMILY CLINIC PLLC NPI 1720480080


NPI Information

NPI: 1720480080
Provider Name: EAST LAWTON NEIGHBORHOOD FAMILY CLINIC, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1102 SE 36TH ST
STE. B
LAWTON, OK
ZIP 73501
Phone: (580) 280-4644
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EAST LAWTON NEIGHBORHOOD FAMILY CLINIC, PLLC is a primary care clinic center in Lawton, OK. EAST LAWTON NEIGHBORHOOD FAMILY CLINIC, PLLC NPI is 1720480080. The provider is registered as an organization entity type.

The provider's business location address is:

1102 SE 36TH ST
STE. B
LAWTON, OK
ZIP 73501-462
Phone: (580) 280-4644
Fax: (580) 280-4646

The provider's authorized official is Frank Russel Williams .
The authorized official title is Managing Partner and has the following contact phone number (580) 280-4644.

The enumeration date for this NPI number is 9/18/2014 and was last updated on 9/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CarePA674OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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