| Doris Langston, Lcsw, P.c. | |
|
1002 W Gore Blvd Lawton OK 73501-3723 | |
| (580) 353-7760 | |
| (580) 351-0084 |
| Full Name | Doris Langston, Lcsw, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 1002 W Gore Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Sarah Lyn Hewes (OFFICE MANAGER) |
| Authorized Official Contact | 5803537760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doris Langston, Lcsw, P.c. 1002 W Gore Blvd Lawton OK 73501-3723 Ph: (580) 353-7760 | Doris Langston, Lcsw, P.c. 1002 W Gore Blvd Lawton OK 73501-3723 Ph: (580) 353-7760 |
| NPI Number | 1225288616 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Medicare PECOS PAC ID | 9739249863 |
|---|---|
| Medicare Enrollment ID | O20081205000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225288616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1904 (Oklahoma) | Primary |
| Provider Name | Doris Langston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083640064 PECOS PAC ID: 6103986237 Enrollment ID: I20081205000455 |
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