Individual
MRS. STACY DAWN LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.T.R.S/L
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3489
Mailing address
1113 DAYTON LN, MOORE, OK 73160-6099
(405) 642-2238
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
50710
OK
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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