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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PHILLIP ANTHONY REZA, PRACTICAL NURSE

Active Sole Proprietor

MR. PHILLIP ANTHONY REZA, PRACTICAL NURSE is a Licensed Practical Nurse healthcare provider located in LAWTON, Oklahoma. NPI 1588033369 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · LAWTON, OK

Registration Details

NPI Number
1588033369
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2015 (10.893471491249 yrs)
Last Updated
Sep 22, 2015
License
L0021375 (OK)
Sole Proprietor
Yes

Practice Information

Address
1515 NE LAWRIE TATUM RD
LAWTON, OK, 735073002
Browse OK providers · Browse ZIP 73507
Phone
5803545270
Fax
5803545289
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in LAWTON, OK

Name Credential NPI
MR. ROBERT LEE INGWERSON LPN 1053647404
MRS. DIANA NIX 1306156989
THELMA DIANNA SMALES L.P.N. 1982900072
DEBRA MICHELLE BUTLER LPN 1194097329
FREDA JOY MCCLAIN 1942575014
MARGARET ANN POLLARD LPN 1902148869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.