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Contact Information

HEATHER E FRY
1908 E GORE BLVD STE A
LAWTON, OK73501-6129
 Phone: 405-593-3944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HEATHER E FRY · (Female)

NPI # 1578184560
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2020
Last updated 10/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 105923
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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