Individual
DR. LAWRENCE E VARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
31870 E. HWY 51, COWETA, OK 74429
(918) 279-3200
Mailing address
PO BOX 400, OKMULGEE, OK 74447-0400
(918) 756-3334
(918) 752-0204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2932
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370179001
BC/BS
OK
05
—
1202932
—
OK
Enumeration date
07/07/2006
Last updated
07/09/2007
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