Individual
LISA BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-5744
Mailing address
744 W 9TH ST, TULSA, OK 74127-9907
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2628
OK
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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