Individual
MRS. SUZANNE BORRER WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
1515 LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 353-0350
(580) 353-2914
Mailing address
1515 LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 353-0350
(580) 353-2914
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD206
OK
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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