NPI 1033989272

Legacy Wellness

Organisation Family Medicine Physician Lawton, OK

Practice location

Address: 927 SW D Ave, Lawton, OK 73501-4530
Phone: (405) 936-0504
Fax: (405) 936-0561
Mailing address: PO Box 57390, Oklahoma City, OK 73157-7390

Authorised official

Name: Jennifer L Le
Title: Provider
Phone: (405) 615-8967

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1033989272
Entity type: Organization
NPI issued: 8 Jan 2024
Record last updated: 18 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.