NPI 1073928594

Phong Luu, DO

Practitioner Family Medicine Physician Lawton, OK

Practice location

Address: 5404 SW Lee Blvd, Lawton, OK 73505-9695
Phone: (580) 355-5242

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5772 (OK)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1073928594
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2014
Record last updated: 6 Sep 2016

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.