Individual
MRS. TERESA SUSANNE SCARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8699
(580) 585-5461
Mailing address
HC 64 BOX 20A2, MARLOW, OK 73055-8902
(580) 355-8699
(580) 585-5461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD1003
OK
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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