Individual
MR. CHRISTOPHER KANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1512 NW LAKE AVE, LAWTON, OK 73507-6449
(580) 277-9257
Mailing address
PO BOX 2752, LAWTON, OK 73502-2752
(580) 492-3394
(580) 492-3825
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/14/2021
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