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Organization
GENESIS MEDICAL PLLC
Active
Organization
GENESIS MEDICAL PLLC
Active
Parent organization
GENESIS MEDICAL PLLC
Other names
Southern Oklahoma Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS MEDICAL PLLC
Authorized official
SHERRY LYNNE CLARK (BILLING/CREDENTIALING)
(580) 223-5180
Entity
Organization
Contact information
Practice address
5370 NW CACHE RD STE 1, LAWTON, OK 73505-3371
(580) 221-2022
Mailing address
5370 NW CACHE RD STE 1, LAWTON, OK 73505-3371
(580) 221-2022
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/23/2026
Last updated
09/23/2026
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