Wildstate Lawton LLC
Wildstate Lawton LLC is a Clinic/Center in Lawton, Oklahoma. Works from 2 locations. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2506 SW Lee BlvdLawton, OK 73505-8311
Phone: (580) 280-2558
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2504 Sw Lee Blvd, Lawton, OK 73505-8311 — (580) 250-1999
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1467327759 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Crystal Johnson — Owner · (580) 280-2558 |
| NPI enumerated | October 7, 2025 |
| Last updated in NPPES | October 20, 2025 |
| Certification date | October 20, 2025 |
| Mailing address | 2506 Sw Lee Blvd, Lawton, OK 73505-8311 |
Other providers in Lawton
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Osu Center for Health Sciences
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Osu Center for Health Sciences
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Osu Center for Health Sciences
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Stars and Stripes Therapy Inc
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