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Individual

NATALIE LYNN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
110 NW 31ST ST STE 201, LAWTON, OK 73505-6100
(580) 585-5549
(580) 699-8223
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 280-4440
(580) 250-6507

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
011779
OH
207V00000X
Obstetrics & Gynecology Physician
DO2005
AL
207VG0400X
Gynecology Physician
Primary
7455
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234980
AL
Enumeration date
06/17/2011
Last updated
06/06/2023
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