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Individual

DR. LONNIE EDWIN PERRYMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
205 S PARK LN, ALTUS, OK 73521-5755
(580) 379-6650
(580) 379-6659
Mailing address
205 S PARK LN, ALTUS, OK 73521-5755
(580) 379-6650
(580) 379-6659

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31349
OK
207Q00000X
Family Medicine Physician
46721
AZ
207Q00000X
Family Medicine Physician
BP10038858
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200607070A
OK
05
774483
AZ
Enumeration date
07/30/2010
Last updated
03/08/2016
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