Individual
LORI MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3758
(405) 936-5288
Mailing address
4401 W MEMORIAL RD, SUITE #141; ATTN: TERRI, OKLAHOMA CITY, OK 73134-1785
(405) 936-5800
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
872
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872
LD LICENSE
OK
Enumeration date
09/21/2006
Last updated
05/19/2008
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