| Mr Jesse Lee Goodman, PA-C | |
| 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | |
| (580) 354-5100 | |
| (580) 354-5105 | 
| Full Name | Mr Jesse Lee Goodman | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699843342 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | 2244 (Oklahoma) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Jesse Lee Goodman, PA-C 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: (580) 354-5100 | Mr Jesse Lee Goodman, PA-C 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 Ph: (580) 354-5100 | 
| Mr. Thomas Lee Mills, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 3106 Nw Arlington Ave, Lawton, OK 73505 Phone: 580-250-4278 | |
| Lonnie Scholl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4920 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-536-8844 Fax: 580-536-8818 | |
| Mrs. Crystal Krey, RN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-354-5000 | |
| Sherryl A. Evans, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3106 Nw Arlington Ave, Lawton, OK 73505 Phone: 580-250-4278 | |
| Ms. Marolyn Jean Pearson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4411 W Gore Blvd, Suite A2, Lawton, OK 73505 Phone: 580-355-0575 Fax: 580-248-1725 | |
| Christopher Aquies Taylor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4301 Wilson St, Lawton, OK 73503 Phone: 580-558-3612 | |
| Mikayla Neal Mefford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4411 W Gore Blvd Ste A2, Lawton, OK 73505 Phone: 580-699-8383 |