OrganizationActive
Aesthetic Extensions
NPI 1710816962 · Prosthetist · Lawton, OK
Provider details
- NPI number
- 1710816962
- Entity type
- Organization
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Brianna Johnson, Owner
Practice location
1320 Nw Homestead Dr Ste E
Lawton, OK 73505-5243
Phone: (804) 502-1140
Mailing address
3872b Sandoval Rd
Fort Sill, OK 73503-4606
Registry dates
- Enumerated
- 2026-05-14
- Last updated
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.