Organization · Type 2 NPI

Prairie Rose Medical Group, PLLC

General Practice Physician · Lawton, OK

NPI number 1528938263 Active

Practice location

4411 W Gore Blvd Ste A2
Lawton, OK 73505-5977

Call (405) 501-5254 Map

Mailing address

6 NW Pleasant View Rdg
Lawton, OK 73505-9503

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

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About NPI 1528938263

Prairie Rose Medical Group, PLLC's National Provider Identifier is 1528938263, issued on Nov 7, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lawton, OK. The record was last updated on Feb 24, 2026.