Organization
XGTO URGENT MEDICAL OF LAWTON, LLC
Active
Other names
WellFast Urgent Care Center East
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA KESSELHEIM (BUSINESS MANAGER)
(580) 357-4200
Entity
Organization
Contact information
Practice address
1902 E GORE BLVD, LAWTON, OK 73501-6102
(580) 357-4200
(580) 357-4201
Mailing address
1902 E GORE BLVD, LAWTON, OK 73501-6102
(580) 357-4200
(580) 357-4201
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200283810A
—
OK
Enumeration date
02/08/2010
Last updated
10/27/2016
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