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

Wildstate Lawton LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1043188261

Wildstate Lawton LLC is a Durable Medical Equipment & Medical Supplies in Lawton, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2504 SW Lee Blvd
Lawton, OK 73505-8311
Phone: (580) 250-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1043188261
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWildstate Lawton LLC
Authorized official Crystal Johnson — Owner · (580) 280-2558
NPI enumeratedOctober 28, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address2504 Sw Lee Blvd, Lawton, OK 73505-8311

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