Individual
TRACY LASHUN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 NE CIMARRON TRL, LAWTON, OK 73507-1433
(314) 210-0685
Mailing address
130 NE CIMARRON TRL, LAWTON, OK 73507-1433
(314) 210-0685
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/30/2013
Last updated
06/30/2013
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