Individual
VINCENT D LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
401 S 3RD ST, ENID, OK 73701-5737
(580) 548-1164
Mailing address
401 S 3RD ST, ENID, OK 73701-5737
(580) 548-1164
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4935
OK
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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