| Lafave Melton Medical Inc | |
|
501 E Conway Allen OK 74825-2904 | |
| (580) 279-5169 | |
| Not Available |
| Full Name | Lafave Melton Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 501 E Conway, Allen, Oklahoma |
| Authorized Official Name and Position | Linda Grigg (CREDENTIALING) |
| Authorized Official Contact | 5803993552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafave Melton Medical Inc 501 E Conway Allen OK 74825-2904 Ph: (580) 279-5169 | Lafave Melton Medical Inc 501 E Conway Allen OK 74825-2904 Ph: (580) 279-5169 |
| NPI Number | 1912470949 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 01/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912470949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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