Wildstate Lawton Llc
Clinic/center
2506 Sw Lee Blvd, Lawton
Oklahoma, 73505-8311
580-280-2558 Wildstate Lawton Llc is a Clinic/center in Lawton, Oklahoma. It is located at 2506 Sw Lee Blvd, Lawton and it's customer support contact number is 580-280-2558. The authorized person of Wildstate Lawton Llc is Mrs. Crystal Michelle Johnson, RN who is Owner of this DME and her contact number is 580-280-2558.
Wildstate Lawton Llc is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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: | Clinic/center |
| Location: | 2506 Sw Lee Blvd, Lawton,
Oklahoma, 73505-8311 |
| Phone: | 580-280-2558 |
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: | Mrs. 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: | 1467327759 |
| NPI Enumeration Date: | 07 Oct, 2025 |
| NPI Last Update On: | 20 Oct, 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 | |
| Clinic/center | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2506 Sw Lee Blvd,
Lawton, Oklahoma |
| Zip: | 73505-8311 |
| Phone Number: | 580-280-2558 |
Patients can reach Wildstate Lawton Llc at
2506 Sw Lee Blvd, Lawton, Oklahoma or can
call on customer care at 580-280-2558.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.