# LAWTON PATHOLOGY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013932706
- **Authorized official:** DR. RICHARD J BOATSMAN M.D. (OWNER)
- **Authorized official phone:** (580) 355-8690

## Contact information

- **Practice address:** 3401 W GORE BLVD, LAWTON, OK 73505-6332
- **Practice address phone:** (580) 355-8690
- **Practice address fax:** (580) 585-5462
- **Mailing address:** PO BOX 6068, LAWTON, OK 73506-0677
- **Mailing address phone:** (580) 355-8690
- **Mailing address fax:** (580) 585-5462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 06/22/2010