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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