Individual
MRS. STEPHANIE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5000
(580) 354-5289
Mailing address
412 E BROADWAY ST, ANADARKO, OK 73005-3018
(405) 933-6332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0017520
OK
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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