Individual
LAKRISTA MICHELLE ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NRT, HN
Contact information
Practice address
816 BAKER RD, SULPHUR, OK 73086-8666
(580) 618-1109
Mailing address
816 BAKER RD, SULPHUR, OK 73086-8666
(580) 618-1109
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
OK
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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