Individual
MS. LAURA KATHERINE BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, MS
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2200
Mailing address
3316 W FORT WORTH ST, BROKEN ARROW, OK 74012-3270
(918) 250-2193
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1148
OK
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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