Organization
LAFAVE MELTON MEDICAL INC
Active
Other names
LAFAVE FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GRIGG (CREDENTIALING)
(580) 399-3552
Entity
Organization
Contact information
Practice address
501 E CONWAY, ALLEN, OK 74825-2904
(580) 279-5169
Mailing address
501 E CONWAY, ALLEN, OK 74825-2904
(580) 279-5169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/25/2019
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