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Individual

ALICIA ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, NP-C

Contact information

Practice address
3201 W GORE BLVD STE 203, LAWTON, OK 73505-6350
(580) 250-6540
(580) 354-5937
Mailing address
3201 W GORE BLVD, LAWTON, OK 73505-6378
(580) 250-6540
(580) 354-5937

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0136309
OK
363LF0000X
Family Nurse Practitioner
Primary
219040
OK

Other

Enumeration date
08/28/2023
Last updated
07/10/2024
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