Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Wellness

Organization Family Medicine Physician · NPI 1033989272

Legacy Wellness is a Family Medicine Physician in Lawton, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

927 SW D Ave
Lawton, OK 73501-4530
Phone: (405) 936-0504
Fax: (405) 936-0561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1033989272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Le — Provider · (405) 615-8967
Other names Legacy Wellness Center
NPI enumeratedJanuary 8, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing addressPo Box 57390, Oklahoma City, OK 73157-7390

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