Basic Information
Provider Information
NPI: 1467554824
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHAFER
FirstName: KAREN
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2309 SECTION 2
Address2:  
City: LAWTON
State: OK
PostalCode: 73502
CountryCode: US
TelephoneNumber: 5803555242
FaxNumber: 5803555245
Practice Location
Address1: 5404 SW LEE BLVD
Address2:  
City: LAWTON
State: OK
PostalCode: 735059695
CountryCode: US
TelephoneNumber: 5803555242
FaxNumber: 5803555245
Other Information
ProviderEnumerationDate: 09/05/2006
LastUpdateDate: 11/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X2019042393MON Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XS3871TXN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XPT16084NDN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X321186LAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X2019-02410NCN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XE-12694ARN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X3195OKY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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