| Doctor Name: | JOHN LONERGAN |
| NPI Number: | 1801217401 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 28344 |
| Business Practice Address: | 1108 N Washington St Weatherford, OK - 730963259 |
| Business Phone Number: | 9403661321 |
| Business Fax Number: | 5807742843 |
| Mailing Address: | 1108 N Washington St, WEATHERFORD |
| State: | OK |
| Postal Code: | 730963259 |
| Phone Number: | 9403661321 |
| Fax Number: | 5807742843 |
| NPI Enumeration Date: | 12/27/2013 |
| NPI Last Update Date: | 12/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 28344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |