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NPI Code Detail

MEDICARE: LAWTON INDEPENDENT SCHOOL DISTRICT

MEDICARE: LAWTON INDEPENDENT SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency100677790AOK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265493837
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWTON INDEPENDENT SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 753 NW FORT SILL BLVD
Second Line :
City : LAWTON
State : OK
Zip : 73507-5421
Country : US
Telephone Number : 580-357-6900
Fax Number : 580-585-6405
Provider Business Practice Location Address
First Line : 753 NW FORT SILL BLVD
Second Line :
City : LAWTON
State : OK
Zip : 73507-5421
Country : US
Telephone Number : 580-357-6900
Fax Number : 580-585-6405
Authorized Official
Title or Position : DISTRICT FINANCIAL MANAGER
Name : MRS. DIANE MELAINE BRANSTETTER
Credential :
Telephone Number : 580-357-6900
Provider Enumeration Date : 03/31/2006
Last Update Date : 10/28/2015

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Directions to “LAWTON INDEPENDENT SCHOOL DISTRICT ” Practice Location

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