Healthcare Provider Details

I. General information

NPI: 1801703954
Provider Name (Legal Business Name): CARLI ANNE HALEY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARLI ANNE SPRINGER PA

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 NW ARLINGTON AVE
LAWTON OK
73507-6537
US

IV. Provider business mailing address

3502 E GORE BLVD APT 13306
LAWTON OK
73501-9037
US

V. Phone/Fax

Practice location:
  • Phone: 580-248-2288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: