# L&M NUTRITION SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821404187
- **Authorized official:** MRS. AMY LISA WALDROOP MS,RD/LD (REGISTERED DIETITIAN)
- **Authorized official phone:** (918) 406-9718

## Contact information

- **Practice address:** 4900 S REDBUD AVE, BROKEN ARROW, OK 74011-4263
- **Practice address phone:** (918) 406-9718
- **Mailing address:** 4900 S REDBUD AVE, BROKEN ARROW, OK 74011-4263
- **Mailing address phone:** (918) 406-9718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 133V00000X | OK | Yes |

## Other

- **Enumeration date:** 07/08/2014
- **Last updated:** 07/08/2014