NPI 1316318231

Marilyn Kassanavoid

Practitioner Licensed Vocational Nurse Lawton, OK

Practice location

Address: 1515 NE Lawrie Tatum Rd, Lawton, OK 73507-3002
Phone: (580) 354-5000
Fax: (580) 354-5634

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence L0014274 (OK)

Other Licensed Vocational Nurse providers in Oklahoma →

Registry record

NPI: 1316318231
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2015
Record last updated: 19 Oct 2015

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.