Provider First Line Business Practice Location Address:
LAWTON CORRECTIONAL FACILITY
Provider Second Line Business Practice Location Address:
8607 SE FLOWERMOUND ROAD
Provider Business Practice Location Address City Name:
LAWTON
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-280-7128
Provider Business Practice Location Address Fax Number:
405-716-4810
Provider Enumeration Date:
05/09/2006