Individual
LATRELLA MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 SW 68TH ST, LAWTON, OK 73505-6707
(580) 574-6749
Mailing address
404 SW 68TH ST, LAWTON, OK 73505-6707
(580) 574-6749
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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