Individual
MR. ROBERT LEE INGWERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
BLDG. 4300 MOW-WAY RD., ATTN: ICU, LAWTON, OK 73503-9042
(580) 558-2600
Mailing address
4300 NW WILSON ST., ATTN: ICU, FORT SILL, OK 73503-9042
(580) 558-2600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0045276
OK
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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