Individual
DR. CHARLES L SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 NW VALLEY RIDGE DRIVE, LAWTON, OK 73505-9531
(580) 536-6353
(580) 536-6873
Mailing address
12 NW VALLEY RIDGE DRIVE, LAWTON, OK 73505-9531
(580) 536-6353
(580) 536-6873
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
16221
OK
207P00000X
Emergency Medicine Physician
Primary
16221
OK
Other
Enumeration date
06/08/2006
Last updated
06/26/2015
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