Individual
MAKAYLA LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 WEST MAIN, COLEMAN, OK 73432
(580) 937-4818
Mailing address
PO BOX 57, COLEMAN, OK 73432-0057
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100684840A
—
OK
Enumeration date
03/22/2016
Last updated
03/22/2016
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