Organization
LAWTON PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J BOATSMAN M.D. (OWNER)
(580) 355-8690
Entity
Organization
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8690
(580) 585-5462
Mailing address
PO BOX 6068, LAWTON, OK 73506-0677
(580) 355-8690
(580) 585-5462
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
06/22/2010
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