| Lawton Indian Hospital | |
|
1515 Ne Lawrie Tatum Rd Lawton OK 73507-3002 | |
| (580) 354-5000 | |
| (580) 354-5289 |
| Full Name | Lawton Indian Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma |
| Authorized Official Name and Position | Stephanie Thompson Gomez (LPN) |
| Authorized Official Contact | 5803545270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawton Indian Hospital 412 E Broadway St Anadarko OK 73005-3018 Ph: (405) 247-6332 | Lawton Indian Hospital 1515 Ne Lawrie Tatum Rd Lawton OK 73507-3002 Ph: (580) 354-5000 |
| NPI Number | 1134599848 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134599848 | NPI | - | NPPES |
| L0017520 | Other | OK | LICENSED PRACTICAL NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L0017520 (Oklahoma) | Primary |
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