Individual
MRS. EMILIE CHARLENE FALLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4411 W GORE BLVD STE A2, LAWTON, OK 73505-5977
(580) 699-8383
(580) 699-8381
Mailing address
4411 W GORE BLVD STE A2, LAWTON, OK 73505-5977
(580) 699-8383
(580) 699-8381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83413
OK
Other
Enumeration date
07/08/2011
Last updated
07/23/2024
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