Individual
MISS LAURA ELIZABETH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-7201
Mailing address
3235 S TROOST AVE, TULSA, OK 74105-2121
(918) 693-2961
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1401
OK
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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