CORNELIUS DOUGLAS

Contractor

Active Individual
NPI: 1750703765

Practice Address

2103 NW 50TH ST
Lawton, OK 73505

Phone: (405) 246-5423

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1750703765 is the National Provider Identifier for CORNELIUS DOUGLAS, a Contractor provider located in Lawton, OK. This NPI was enumerated on January 9, 2014.
CORNELIUS DOUGLAS practices at 2103 NW 50TH ST, Lawton, OK 73505.

Quick Facts

NPI
1750703765
Type
Individual
Enumerated
Jan 9, 2014
Last Updated
Jan 9, 2014

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