Individual provider · Type 1 NPI

Marolyn Jean Pearson, PA-C

Medical Physician Assistant · Lawton, OK

NPI number 1184745697 Active

Practice location

4411 W Gore Blvd, Suite A2
Lawton, OK 73505

Fax (580) 248-1725

Mailing address

PO Box 785
Lawton, OK 73502-0785

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1936 (OK)
Medical Physician Assistant 363AM0700X1045922

Medical Physician Assistant: Definition to come...

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About NPI 1184745697

Marolyn Jean Pearson, PA-C's National Provider Identifier is 1184745697, issued on Apr 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawton, OK. The record was last updated on Feb 1, 2011.