Individual
INGRID R DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(405) 271-6827
Mailing address
PO BOX 269025, OKLAHOMA CITY, OK 73126-9025
(405) 271-1500
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
109597
OK
Other
Enumeration date
01/11/2012
Last updated
04/14/2016
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