Lawton Psychiatry Services, Llc

LBN: Lawton Psychiatry Services, Llc
Lawton Psychiatry Services, Llc is an health care organization with primary practice located at 605 W Gore Blvd Ste 1 , Lawton OK 73501-3732. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Lawton Psychiatry Services, Llc can be contacted via phone (580) 357-7332, or through Blackburn, Tammie via phone (580) 357-3034.

Contact Information

Primary practice address
605 W Gore Blvd Ste 1 Lawton OK 73501-3732
Phone: (580) 357-7332
Fax: (580) 357-7455
Website:
Map and Directions
Authorized official contact:
Name: Blackburn, Tammie
Phone: (580) 357-3034

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1861789331
LBN Legal business name Lawton Psychiatry Services, Llc
DBA Doing business as
Authorized official Blackburn, Tammie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2011
Last updated Jul 6th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861789331 NPPES
Oklahoma MEDICAID 200331430A
Oklahoma MEDICAID 100205610B

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