Wildstate Lawton Llc
Durable Medical Equipment & Medical Supplies
2504 Sw Lee Blvd, Lawton
Oklahoma, 73505-8311
580-250-1999 Wildstate Lawton Llc is a Durable Medical Equipment & Medical Supplies in Lawton, Oklahoma. This organization is also known as sub part of Wildstate Lawton Llc. It is located at 2504 Sw Lee Blvd, Lawton and it's customer support contact number is 580-250-1999. The authorized person of Wildstate Lawton Llc is Crystal Michelle Johnson, RN who is Owner of this DME and his contact number is 580-280-2558.
Wildstate Lawton Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Wildstate Lawton Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Wildstate Lawton Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 2504 Sw Lee Blvd, Lawton,
Oklahoma, 73505-8311 |
| Phone: | 580-250-1999 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Crystal Michelle Johnson |
| Credentials: | RN |
| Position: | Owner |
| Contact Number: | 580-280-2558 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1043188261 |
| Parent Organization: | Wildstate Lawton Llc |
| NPI Enumeration Date: | 28 Oct, 2025 |
| NPI Last Update On: | 18 Nov, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wildstate Lawton Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1467327759 | Other | Oklahoma | Dbacombinedhomemedical |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2504 Sw Lee Blvd,
Lawton, Oklahoma |
| Zip: | 73505-8311 |
| Phone Number: | 580-250-1999 |
Patients can reach Wildstate Lawton Llc at
2504 Sw Lee Blvd, Lawton, Oklahoma or can
call on customer care at 580-250-1999.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.