Individual
LOVELY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-7201
(918) 494-7270
Mailing address
11706 S WILLOW ST, JENKS, OK 74037-4357
(918) 296-9455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1420
OK
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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