Individual
LORI MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1611 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-4610
(405) 204-5157
Mailing address
4 NE 10TH ST UNIT 157, OKLAHOMA CITY, OK 73104-1402
(405) 204-5157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
992
OK
Other
Enumeration date
10/16/2020
Last updated
03/10/2023
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