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Individual

CHRISTOPHER DALE LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4166 COUNTY ROAD 1320, CARNEGIE, OK 73015-2270
(580) 284-8853
(580) 569-2075
Mailing address
4166 COUNTY ROAD 1320, CARNEGIE, OK 73015-2270
(580) 284-8853
(580) 569-2075

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1236
OK

Other

Enumeration date
03/29/2013
Last updated
03/29/2013
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