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

Elliss Desherow, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073301206

Elliss Desherow, DO is a Student in an Organized Health Care Education/Training Program in Lawton, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone: (580) 355-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073301206
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address38w155 Henricksen Rd, St Charles, IL 60175-5471

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