Organization
RESTORE WOUND CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY LAWRENCE (MD)
(405) 203-0691
Entity
Organization
Contact information
Practice address
1908 WHIPPORWILL CT, EDMOND, OK 73013-7637
(405) 203-0691
Mailing address
1908 WHIPPORWILL CT, EDMOND, OK 73013-7637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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