Individual
DAVID JASON LANIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
872 W 13TH ST, ATOKA, OK 74525-3426
(580) 889-3331
(580) 889-7765
Mailing address
9366 S CHILDRENS LN, CADDO, OK 74729-5059
(580) 920-9570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13369
OK
Other
Enumeration date
11/10/2020
Last updated
08/31/2022
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