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NPI Code Detail

MEDICARE: LAWTON PUBLIC SCHOOLS

MEDICARE: LAWTON PUBLIC SCHOOLS
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
1251300000XLocal Education Agency (LEA)148096OK

General Provider Information

NPI Number : 1104299726
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWTON PUBLIC SCHOOLS
Provider Business Mailing Address
First Line : 753 NW FT SILL BLVD
Second Line :
City : LAWTON
State : OK
Zip : 73502-1009
Country : US
Telephone Number : 580-353-0334
Fax Number : 580-585-6350
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 : 580-353-0334
Fax Number : 580-585-6350
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : MS. SHELLEY ANNE MALONE
Credential : M.S.CCC-SLP
Telephone Number : 580-917-0992
Provider Enumeration Date : 11/04/2015
Last Update Date : 11/04/2015

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Directions to “LAWTON PUBLIC SCHOOLS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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