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Individual

MARISSA FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
2024 ELMHURST DR, NORMAN, OK 73071-1442
(405) 223-1340
Mailing address
4302 HARVARD RD, NORMAN, OK 73072-4428
(405) 819-3382

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
174N00000X
Lactation Consultant (Non-RN)
Primary
L322217
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000
NA
OK
Enumeration date
06/26/2018
Last updated
08/05/2026
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