OrganizationActive
Healthstat Onsite Clinic Goodyear Lawton
NPI 1619524048 · Preventive Medicine/Occupational Environmental Medicine Physician · Lawton, OK
Provider details
- NPI number
- 1619524048
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Sw Goodyear Blvd
Lawton, OK 73505-9723
Phone: (704) 936-5546
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Registry dates
- Enumerated
- 2019-08-21
- Last updated
- 2019-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.