Individual
NANCY COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9 NW SHELTER LAKE DRIVE, LAWTON, OK 73505-3739
(337) 356-7592
Mailing address
9 NW SHELTER LAKE DR, LAWTON, OK 73505-3739
(337) 356-7592
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
11352
PR
Other
Enumeration date
06/20/2007
Last updated
11/18/2011
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