Organization · Type 2 NPI

Wildstate Lawton LLC

Clinic/Center · Lawton, OK

NPI number 1467327759 Active

Practice location

2506 SW Lee Blvd
Lawton, OK 73505-8311

Call (580) 280-2558 Map

Other practice locations

  • 2504 SW Lee Blvd, Lawton, OK 73505-8311 · (580) 250-1999

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1467327759

Wildstate Lawton LLC's National Provider Identifier is 1467327759, issued on Oct 7, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lawton, OK. The record was last updated on Oct 20, 2025.