Individual
LAUREN LYNN TILFORD AMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD/LD
Contact information
Practice address
700 PARKHURST TER, EDMOND, OK 73003-5062
(405) 323-9897
Mailing address
700 PARKHURST TER, EDMOND, OK 73003-5062
(405) 323-9897
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1803
OK
Other
Enumeration date
08/14/2013
Last updated
09/26/2013
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