Organization
LAWTON CT AND MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BAIN (OWNER)
(580) 699-7571
Entity
Organization
Contact information
Practice address
1108 SW B AVE, LAWTON, OK 73501-4229
(580) 699-7571
(580) 699-7581
Mailing address
1108 SW B AVE, LAWTON, OK 73501-4229
(580) 699-7571
(580) 699-7581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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