Organization
THE FAMILY CARE CENTER OF HARRAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEN U LACEFIELD JR. (ADMINISTRATOR)
(405) 454-2404
Entity
Organization
Contact information
Practice address
20826 MAIN ST, HARRAH, OK 73045-9755
(405) 454-2404
(405) 454-6372
Mailing address
PO BOX 900, HARRAH, OK 73045-0900
(405) 454-2404
(405) 454-6372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
2323
OK
Other
Enumeration date
05/20/2006
Last updated
04/24/2008
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