Organization
LMC MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY W CHILDERS D.O. (OWNER)
(918) 453-1234
Entity
Organization
Contact information
Practice address
932 W SHAWNEE ST, SUITE A, MUSKOGEE, OK 74401-3511
(918) 453-1234
(918) 453-9107
Mailing address
932 W SHAWNEE ST, SUITE A, MUSKOGEE, OK 74401-3511
(918) 453-1234
(918) 453-9107
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/17/2013
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