Wildstate Lawton LLC
NPI #1043188261 in Lawton, Oklahoma
Provider Information
- NPI Number
- 1043188261
- Entity Type
- Organization
- Organization Name
- Wildstate Lawton LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WILDSTATE LAWTON LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 28, 2025
- Last Updated
- Nov 18, 2025
Practice Location
Authorized Official
- Name
- CRYSTAL MICHELLE JOHNSON, RN
- Title
- OWNER
- Phone
- (580) 280-2558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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