Individual provider · Type 1 NPI

Larry Don Otwell, LPN

Licensed Practical Nurse · Enid, OK

NPI number 1093100596 Active

Practice location

317 W Cherokee Ave, Suite B
Enid, OK 73701-5615

Fax (888) 573-7792

Mailing address

2005 W Elm Ave
Enid, OK 73703-4208

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0046123 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1093100596

Larry Don Otwell, LPN's National Provider Identifier is 1093100596, issued on Apr 1, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Enid, OK. The record was last updated on Apr 1, 2015.