Search › Oklahoma › 225200000X
Kelly Lazauskas, PTA
NPI 1619272812 · on the registry since 2011 · sole proprietor
Practice
- Address
- 7019 Nw Cache Rd
Lawton, OK 73505 - Phone
- (580) 536-1279
- Organisation at this address
- Psg - Willow Park Llc
Southwest Ltc Lawton LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
225200000X
225200000X
225200000X - Licence states on file
- OK, MN, IA, NE, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma