Individual
SUSAN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT 1
Contact information
Practice address
584 NW BINGO RD, LAWTON, OK 73507-1214
(580) 492-3240
Mailing address
584 NW BINGO RD, LAWTON, OK 73507-1214
(580) 492-3240
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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