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Maribel Colon-santiago, MD
Specialist in Lawton, Oklahoma
NPI 1942312103

Maribel Colon-santiago is a Specialist based in Lawton, OK. Maribel Colon-santiago practices in Lawton, OK and has the professional credentials of MD. The NPI Number for Maribel Colon-santiago is 1942312103 and holds a License No. 10773 (Oklahoma).

The current practice location address for Maribel Colon-santiago is 1515 Ne Lawrie Tatum Rd, Lawton, OK and can be reached out via phone at 580-354-5270 and via fax at 580-354-5289.

Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK, 73505-3118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942312103
Provider Name
Maribel Colon-santiago
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1515 Ne Lawrie Tatum Rd, Lawton, OK, 73505-3118
Phone Number
580-354-5270
Fax Number
580-354-5289
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83073 01 PR MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1515 Ne Lawrie Tatum Rd
City
Lawton
State
Oklahoma
Zip
73507-3002
Phone Number
580-354-5270
Fax Number
580-354-5289
person
Provider Business Mailing Address Details
Address
1515 Ne Lawrie Tatum Rd
City
Lawton
State
Oklahoma
Zip
73507-3002
Phone Number
580-354-5270
Fax Number
580-354-5289
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
10773 ()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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