Individual
LISA A BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD/LD
Contact information
Practice address
1200 N PHILLIPS AVE, 9TH FLOOR, SUITE 9500, OKLAHOMA CITY, OK 73104-4600
(405) 271-2006
Mailing address
1200 N PHILLIPS AVE, 9TH FLOOR, SUITE 9500, OKLAHOMA CITY, OK 73104-4600
(405) 271-2006
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1629
OK
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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