Perryman, Lonnie Edwin

Perryman, Lonnie Edwin is an individual health care provider with primary practice located at 205 S Park Ln , Altus OK 73521-5755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perryman, Lonnie Edwin can be contacted via phone (580) 379-6650.

Contact Information

Primary practice address
205 S Park Ln Altus OK 73521-5755
Phone: (580) 379-6650
Fax: (580) 379-6659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP10038858 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31349 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46721 Arizona

Profile Details

NPI number 1275847303
LBN Legal business name Perryman, Lonnie Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Mar 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275847303 NPPES
Oklahoma MEDICAID 200607070A
Oklahoma MEDICAID 774483

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