Shane Michael Dyer
Shane Michael Dyer is a Peer Specialist in Lawton, Oklahoma. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1320 NW Homestead Dt Ste GLawton, OK 73505
Phone: (714) 477-4605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1992512800 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 13, 2024 |
| Last updated in NPPES | December 13, 2024 |
| Certification date | December 10, 2024 |
| Mailing address | 1320 Nw Homestead Dt Ste G, Lawton, OK 73505 |
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