Provider First Line Business Practice Location Address:
1515 NORTH EAST LAWRIE TATUM ROAD
Provider Second Line Business Practice Location Address:
USPHS LAWTON INDIAN HOSPITAL
Provider Business Practice Location Address City Name:
LAWTON
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-353-0350
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2012