NPI 1053768028
Jadam Lawton LLC
Practice location
- Address
- 1354 NW Homestead Dr, Lawton, OK 73505-5223
- Phone
- (580) 699-5455
- Fax
- (580) 215-4991
Authorised official
- Name
- Jennifer Rodrick
- Title
- Office Manager
- Phone
- (580) 699-5455
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1053768028
- Entity type
- Organization
- NPI issued
- 19 May 2016
- Record last updated
- 14 Oct 2020
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.