Individual provider · Type 1 NPI

Ivan Raynard Thomas Jr.

Peer Specialist · Lawton, OK

NPI number 1093613184 Active

Practice location

302 NW Rogers Ln
Lawton, OK 73507-1619

Call (580) 360-0906 Map

Mailing address

1902 NW Arlington Ave
Lawton, OK 73507-6311

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1093613184

Ivan Raynard Thomas Jr.'s National Provider Identifier is 1093613184, issued on Oct 28, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lawton, OK. The record was last updated on Oct 28, 2026.