Lail Chiropractic Center | |
1402 Nw Ferris Ave, Lawton, OK 73507-5747 | |
(580) 248-4212 | |
Not Available |
Full Name | Lail Chiropractic Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 1402 Nw Ferris Ave, Lawton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164506093 | NPI | - | NPPES |
446766413001 | Other | OK | BC/BS |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 111N00000X (Oklahoma) | Primary |
Provider Name | Carl Thomas Lail |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609800887 PECOS PAC ID: 5294648689 Enrollment ID: I20031111000599 |
Provider Name | Gregory Michael Holtzman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811080112 PECOS PAC ID: 7012935554 Enrollment ID: I20051221000010 |
Mailing Address | Practice Location Address |
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Lail Chiropractic Center 1402 Nw Ferris Ave, Lawton, OK 73507-5747 Ph: (580) 248-4212 | Lail Chiropractic Center 1402 Nw Ferris Ave, Lawton, OK 73507-5747 Ph: (580) 248-4212 |
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