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Organization
SOUTHWESTERN MEDICAL CENTER, LLC
Active
Organization
SOUTHWESTERN MEDICAL CENTER, LLC
Active
Other names
Southwestern Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4700
(580) 531-4702
Mailing address
680 S 4TH ST # KH-3, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2231
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100697950
—
OK
Enumeration date
05/04/2006
Last updated
06/23/2025
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