Individual
LAUREN HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1010 SW SHERIDAN RD, LAWTON, OK 73505-1531
(580) 248-5890
Mailing address
3216 FRANKLIN AVE, MELISSA, TX 75454-3118
(469) 631-8852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1879
OK
133V00000X
Registered Dietitian
DT82804
TX
Other
Enumeration date
05/31/2018
Last updated
10/31/2019
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