Individual
MRS. ERIN ELIZABETH COPPENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/LD, CLC
Contact information
Practice address
500 SW 44TH ST, OKLAHOMA CITY, OK 73109-3540
(405) 632-6688
(405) 232-0716
Mailing address
500 SW 44TH ST, OKLAHOMA CITY, OK 73109-3540
(405) 632-6688
(405) 232-0716
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2131
OK
174N00000X
Lactation Consultant (Non-RN)
220455
NE
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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