Individual
MRS. TRACY LOZON CANANT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD/LD, CDE
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8806
(918) 696-8840
Mailing address
57267 S 725 RD, COLCORD, OK 74338-1123
(918) 696-8806
(918) 696-8840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
778
OK
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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