Organization
SOUTHWESTERN PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT LUZ MD (OWNER)
(580) 536-3500
Entity
Organization
Contact information
Practice address
5606 SW LEE BLVD, SUITE 201, LAWTON, OK 73505-9688
(580) 536-3500
(580) 536-3506
Mailing address
5606 SW LEE BLVD, SUITE 201, LAWTON, OK 73505-9688
(580) 536-3500
(580) 536-3506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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