Most Relevant Information
Provider Data
| NPI Number: | 1003276213 |
| Provider Name: | ROBERT LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/01/2016 |
| Last Updated: | 03/01/2016 |
Provider Practice Location
1719 SW 11TH ST
LAWTON
OK
735017305
Practice Location Phone/Fax
| Phone: | 5805811818 |
| Fax: | 5805811819 |
Provider Mailing Location
PO BOX 662
PURCELL
OK
730800662
Provider Mailing Phone/Fax
| Phone: | 4055271785 |
| Fax: | 4055271084 |