Search › Oklahoma › 101Y00000X
Brian Pack, BS
NPI 1740508159 · on the registry since 2010
Practice
- Address
- 2501 Sw E Ave
Lawton, OK 73505 - Phone
- (580) 250-1123
- Fax
- (580) 250-8495
- Organisation at this address
- Marie Detty Youth & Family Services Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2010-05-10
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