Unknown Individual – Otolaryngology Physician, NPI 1558457275
Otolaryngology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5402, Southwest Lee Boulevard, Lawton, Comanche County, Oklahoma, 73505, United States
LAWTON, OK 735059521
Phone: (580) 531-0022
Fax: (580) 531-0026
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73505)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | OK | |
| Otolaryngology, Sleep Medicine | OK | |
| O T O L A R Y N G O L O G Y | TX | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK |
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