Provider Demographics
NPI:1245597798
Name:LAWHON, CHRISTINA M (BHRS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:LAWHON
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:OK
Mailing Address - Zip Code:73086-2814
Mailing Address - Country:US
Mailing Address - Phone:580-618-0174
Mailing Address - Fax:
Practice Address - Street 1:121 E MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DAVIS
Practice Address - State:OK
Practice Address - Zip Code:73030-1973
Practice Address - Country:US
Practice Address - Phone:580-369-5080
Practice Address - Fax:580-369-2488
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200049040Medicaid