OrganizationActive
Lawton Dialysis Center-East LLC
NPI 1376053892 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lawton, OK
Provider details
- NPI number
- 1376053892
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bali Sodam, Owner(580) 536-5273
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4516 Se Lee Blvd
Lawton, OK 73501-6558
Phone: (580) 351-1430
Fax: (580) 351-9980
Approximate (ZIP-level) locationGet directions
Mailing address
4516 Se Lee Blvd
Lawton, OK 73501-6558
Registry dates
- Enumerated
- 2017-10-11
- Last updated
- 2023-01-12
- Certified
- 2023-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.