Lafave Melton Medical Inc

Organization Active NPI Family Medicine Physician · Allen, OK

NPI 1912470949 · NPPES record last updated Jan 25, 2019

Key facts

NPI
1912470949
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
LAFAVE MELTON MEDICAL INC
Practice address
501 E Conway
Allen, OK 74825-2904
Phone
(580) 279-5169
NPI assigned
Jan 2, 2019
Organization subpart
No

Authorized official

Name
Linda Grigg
Title
Credentialing
Phone
(580) 399-3552

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

501 E Conway
Allen, OK 74825-2904

Mailing address

501 E Conway
Allen, OK 74825-2904
Phone (580) 279-5169

Other practice location 1

503 E Conway
Allen, OK 74825-2904
Phone (580) 279-5169

Other names

  • LAFAVE FAMILY CLINIC Doing business as

Other providers in Allen, OK

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

Sources for this page

Verify at the official NPI Registry.