| East Lawton Neighborhood Family Clinic, Pllc | |
|
1102 Se 36th St Ste. B Lawton OK 73501-8462 | |
| (580) 280-4644 | |
| (580) 280-4646 |
| Full Name | East Lawton Neighborhood Family Clinic, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1102 Se 36th St, Lawton, Oklahoma |
| Authorized Official Name and Position | Frank Russel Williams (MANAGING PARTNER) |
| Authorized Official Contact | 5802804644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Lawton Neighborhood Family Clinic, Pllc 1102 Se 36th St Ste. B Lawton OK 73501-8462 Ph: (580) 280-4644 | East Lawton Neighborhood Family Clinic, Pllc 1102 Se 36th St Ste. B Lawton OK 73501-8462 Ph: (580) 280-4644 |
| NPI Number | 1720480080 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720480080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PA674 (Oklahoma) | Primary |
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