Lewis J Litwack

Individual provider Active NPI Family Medicine Physician · Elgin, OK

NPI 1760566293 · NPPES record last updated Jul 8, 2016

Key facts

NPI
1760566293
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
24725 (OK)
Practice address
7936 US Hwy 277
Elgin, OK 73538
Phone
(580) 492-6900
Fax
(580) 492-6902
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24725OKMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24725 OK Yes

Addresses

Primary practice location

7936 US Hwy 277
Elgin, OK 73538

Mailing address

PO Box 2309
Lawton, OK 73502-2309
Phone (580) 357-9984

Other providers in Elgin, OK

All providers in Elgin, OK · Family Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.