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Organization
MARBLE WORKS OF LAWTON
Active
Organization
MARBLE WORKS OF LAWTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE LEWIS (OWNER/PRESIDENT)
(580) 357-8664
Entity
Organization
Contact information
Practice address
200 SW C AVE., SUITE 14, LAWTON, OK 73501-4600
(580) 357-8664
(580) 354-9050
Mailing address
200 SW C AVE, SUITE 14, LAWTON, OK 73501-4600
(580) 357-8664
(580) 354-9050
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
847868
OK
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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