# OKLAHOMA WEST PHYSICIANS GROUP

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

## Provider details

- **NPI number:** 1578743993
- **Authorized official:** DR. GARY MONROE LAWRENCE M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (580) 774-1285

## Contact information

- **Practice address:** 215 N ILLINOIS ST, WEATHERFORD, OK 73096-5437
- **Practice address phone:** (580) 774-1285
- **Practice address fax:** (580) 772-8891
- **Mailing address:** 215 N ILLINOIS ST, WEATHERFORD, OK 73096-5437
- **Mailing address phone:** (580) 774-1285
- **Mailing address fax:** (580) 772-8891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14150 | OK | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 11/14/2007
