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Contact Information

ELLA M EDMONDSON
1515 NE LAWRIE TATUM RD
LAWTON, OK73507-3002
 Phone: 580-354-5404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for ELLA M EDMONDSON · (Female)

NPI # 1710696950
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2022
Last updated 11/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 0104236
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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