NPI | 1699409052 |
---|---|
Doing Business As | LCHC LAWTON PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SEAN MCAVOY Executive Director Of Primary Care 580-355-5242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2022-07-12 |
Last Update Date | 2022-07-12 |