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Individual

PETER LAFON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2340 E MAIN ST, CUSHING, OK 74023-2905
(918) 225-6904
(918) 225-4559
Mailing address
1030 E CHERRY, CUSHING, OK 74023-4102
(918) 225-0616
(918) 225-3740

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2537
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100135530A
OK
Enumeration date
03/14/2006
Last updated
08/21/2009
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