Lane Family Clinic LLC

NPI #1942810056 in Wright City, Oklahoma

Provider Information

NPI Number: 1942810056
Entity Type: Organization
Organization Name: Lane Family Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 4, 2020
Last Updated: Aug 4, 2020

Practice Location

Address: 207 WEST 10TH STREET
City: Wright City
State: Oklahoma
ZIP Code: 74766
Phone: (580) 981-2104

Authorized Official

Name: SHAMI LYNN FOWLER, CNP
Title: OWNER
Phone: (580) 212-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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