Lafave Melton Medical Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAFAVE MELTON MEDICAL INC

Doing business as

Lafave Family Clinic

Practice address

501 E Conway
Allen, OK 74825-2904

Phone

(580) 279-5169

NPI assigned

Jan 2, 2019

Last updated

Jan 25, 2019By 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

Linda Grigg

Title

Credentialing

Phone

(580) 399-3552

Specialties & licenses 1

Addresses

Other names 1

• LAFAVE FAMILY CLINIC Doing business as

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1912470949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E CONWAY",
            "city": "ALLEN",
            "state": "OK",
            "postal_code": "748252904",
            "telephone_number": "580-279-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E CONWAY",
            "city": "ALLEN",
            "state": "OK",
            "postal_code": "748252904",
            "telephone_number": "580-279-5169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 E Conway",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "OK",
            "postal_code": "748252904",
            "country_code": "US",
            "telephone_number": "580-279-5169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAFAVE MELTON MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "GRIGG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "580-399-3552"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAFAVE FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAFAVE FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Health Clinic LLC
• Allen Neighborhood Pharmacy Inc (Allen Community Pharmacy)
• Allen Public Schools
• Sydney Browning, LMT
• Melanie Lee Merriman, LPN
• Heather Prentice, ARNP
• Peggy Sue Rinehart
• Rural Health Care Innovations
• Kelly Shannon Russell, APRN-CNP

• Family Medicine Physician in Allen, OK
• Providers in Allen, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.