Individual
DR. SUSAN LAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
2601 NW 177TH ST, EDMOND, OK 73012-8917
(405) 226-5808
Mailing address
2601 NW 177TH ST, EDMOND, OK 73012-8917
(405) 226-5808
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1508211749
OK
Other
Enumeration date
04/25/2016
Last updated
10/23/2020
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