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Organization
LAFAVE MELTON MEDICAL INC
Active
Organization
LAFAVE MELTON MEDICAL INC
Active
Other names
LAFAVE FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GRIGG (CREDENTIALING)
(580) 399-3552
Entity
Organization
Contact information
Practice address
501 E CONWAY, ALLEN, OK 74825-2904
(580) 279-5169
Mailing address
501 E CONWAY, ALLEN, OK 74825-2904
(580) 279-5169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/25/2019
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