Organization
LAWTON INDIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE THOMPSON GOMEZ L.P.N. (LPN)
(580) 354-5270
Entity
Organization
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) 247-6332
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L0017520
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0017520
LICENSED PRACTICAL NURSE
OK
Enumeration date
10/07/2015
Last updated
10/07/2015
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