Provider First Line Business Practice Location Address:
1515 LAURIE TATUM ROAD
Provider Second Line Business Practice Location Address:
ADULT CARE CLINIC 2
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:
580-354-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2017