Individual
MR. BRIAN KEITH LANKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
323 W EAGLE BLVD, GOODWELL, OK 73939-1500
(580) 349-1338
(580) 349-1419
Mailing address
PO BOX 430, GOODWELL, OK 73939-0430
(580) 349-1338
(580) 349-1419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
268
OK
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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