Marble Works of Lawton

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

847868 Issued in OK

Legal business name

MARBLE WORKS OF LAWTON

Practice address

200 SW C Ave.
Suite 14
Lawton, OK 73501-4600

Phone

(580) 357-8664

Fax

(580) 354-9050

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mike Lewis

Title

Owner/President

Phone

(580) 357-8664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801802699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW C AVE",
            "address_2": "SUITE 14",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014600",
            "telephone_number": "580-357-8664",
            "fax_number": "580-354-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW C AVE.",
            "address_2": "SUITE 14",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014600",
            "telephone_number": "580-357-8664",
            "fax_number": "580-354-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE WORKS OF LAWTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "580-357-8664"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OK",
            "license": "847868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Mans
• Marc Mantzke
• Patricia Mantzke, LPN
• Randy Manuel
• Bradley Maples
• Charity L Marburger-Caddo
• Rachel Marchbanks
• Sam Marco, MD
• Angela Mardenborough, APRN-CNP
• Natalie Dawn Marek

• Customized Equipment (DME) in Lawton, OK
• Providers in Lawton, OK by specialty
• Customized Equipment (DME) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.