Individual
BRAXTON M LAMUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 308-5512
(580) 215-5767
Mailing address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 308-5512
(580) 215-5767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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