Organization
CIMARRON PUBLIC SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI TYDINGS (MEDICAID COORDINATOR/SLP)
(580) 796-2204
Entity
Organization
Contact information
Practice address
301 MAIN ST., LAHOMA, OK 73754-0008
(580) 796-2204
(580) 796-2350
Mailing address
301 MAIN ST., LAHOMA, OK 73754-0008
(580) 796-2204
(580) 796-2350
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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