Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jesse Lee Goodman, PA-C

Individual provider Physician Assistant · NPI 1699843342

Mr. Jesse Lee Goodman, PA-C is a Physician Assistant in Lawton, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone: (580) 354-5100
Fax: (580) 354-5105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2244 (OK)

Record details

NPI number1699843342
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 1, 2006
Last updated in NPPESApril 16, 2013

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