LAWRENCE CLAYTON LEWALLEN

TULSA, OK
NPI1679285811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-12-20
Last Update Date2022-12-20
Business Address
LAWRENCE CLAYTON LEWALLEN
1214 S BALTIMORE AVE
TULSA, OK 74119-2804
Phone number: 918-779-7203
Mailing Address
LAWRENCE CLAYTON LEWALLEN
1214 S BALTIMORE AVE
TULSA, OK 74119-2804
Phone number: 918-779-7203