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Organization

EAST LAWTON NEIGHBORHOOD FAMILY CLINIC, PLLC

Active
Parent organization
EAST LAWTON NEIGHBORHOOD FAMILY CLINIC, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAST LAWTON NEIGHBORHOOD FAMILY CLINIC, PLLC
Authorized official
MR. FRANK RUSSEL WILLIAMS SR. PA-C (MANAGING PARTNER)
(580) 280-4644
Entity
Organization

Contact information

Practice address
1102 SE 36TH ST, STE. B, LAWTON, OK 73501-8462
(580) 280-4644
(580) 280-4646
Mailing address
1102 SE 36TH ST, STE. B, LAWTON, OK 73501-8462
(580) 280-4644
(580) 280-4646

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PA674
OK

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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