Individual
MRS. KRISTEN LANE MAUDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 NW 74TH ST, LAWTON, OK 73505-4233
(580) 678-5125
Mailing address
1106 NW 74TH ST, LAWTON, OK 73505-4233
(580) 678-5125
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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