Individual
IDORENYIN LESLIE AIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3201 W GORE BLVD, SUITE 101, LAWTON, OK 73505
(580) 248-8225
(580) 248-8919
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25633
OK
Other
Enumeration date
06/19/2007
Last updated
04/29/2010
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