Individual
DR. PATTI SUE LANDERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D., R.D./L.D.
Contact information
Practice address
1600 N PHILLIPS AVE, COAH NUTRITION COUNSELING, OKLAHOMA CITY, OK 73104-4619
(405) 271-2113
(405) 271-1560
Mailing address
DEPARTMENT OF NUTRITIONAL SCIENCES, PO BOX 26901, CHB 469, OKLAHOMA CITY, OK 73190-0001
(405) 271-2113
(405) 271-1560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 996
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5337259
AETNA
OK
Enumeration date
08/25/2005
Last updated
07/08/2007
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