Organization
OKLAHOMA NUTRITION THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GIBSON RDN (OWNER)
(405) 314-0953
Entity
Organization
Contact information
Practice address
3351 W ROCK CREEK RD STE 120, NORMAN, OK 73072-2463
(405) 314-0953
(405) 701-5950
Mailing address
3351 W ROCK CREEK RD STE 120, NORMAN, OK 73072-2463
(405) 314-0953
(405) 701-5950
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1436
OK
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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