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Organization

THOMAS J LECKMAN

Active
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Organization

THOMAS J LECKMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS JAY LECKMAN MD (PHYSICIAN)
(580) 248-7502
Entity
Organization

Contact information

Practice address
505 NW SHERIDAN RD, SUITE C, LAWTON, OK 73505-6522
(580) 248-7502
(580) 248-5003
Mailing address
505 NW SHERIDAN RD, SUITE C, LAWTON, OK 73505-6522
(580) 248-7502
(580) 248-5003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10781
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100022640E
OK
Enumeration date
05/20/2008
Last updated
05/20/2008
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