Individual
AMY HANNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1202 NW ARLINGTON AVE, LAWTON, OK 73507-6537
(580) 248-2288
Mailing address
1202 NW ARLINGTON AVE, LAWTON, OK 73507-6537
(580) 248-2288
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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