Organization
NOURISH NUTRITION & DIABETES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JOHNSTON RD (OWNER AND DIETITIAN)
(405) 509-1294
Entity
Organization
Contact information
Practice address
1601 S STATE ST STE 500, EDMOND, OK 73013-3698
(405) 254-6453
(405) 562-8735
Mailing address
1601 S STATE ST STE 500, EDMOND, OK 73013-3698
(405) 254-6453
(405) 562-8735
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1559
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/29/2014
Last updated
10/07/2025
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