Organization · Type 2 NPI
Corecare Medical LLC
Adult Medicine Physician · Lawton, OK
NPI number
1558201095
Active
Practice location
7802 NW Quannah Parker Trl
Lawton, OK 73505-1177
Mailing address
2501 SW A Ave Apt 1
Lawton, OK 73505-7138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1558201095
Corecare Medical LLC's National Provider Identifier is 1558201095, issued on Apr 1, 2026. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Lawton, OK. The record was last updated on Apr 1, 2026.