Lawton Kidney Care LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

LAWTON KIDNEY CARE LLC

Practice address

5112 W Gore Blvd
Lawton, OK 73505-5984

Phone

(580) 248-3733

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rubin Chandran

Title

Owner

Phone

(580) 248-3733

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1245952449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055984",
            "telephone_number": "580-248-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055984",
            "telephone_number": "580-248-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "CHANDRAN",
        "authorized_official_first_name": "RUBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-248-3733"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawton Independent School District
• Lawton Indian Hospital
• Lawton Indian Hospital
• Lawton Indian Hospital
• Lawton Indian Hospital
• Lawton Med Partners LLC (U.S. Renal Care Sooner Dialysis)
• Lawton Nephrology
• Lawton Pathology Services, LLC
• Lawton Post Acute & Rehab,LLC
• Lawton Psychiatry Services, LLC

• Nephrology Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.