Individual
LAUREN D LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 684-3575
(918) 684-3390
Mailing address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 684-3575
(918) 684-3390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2019
OK
133V00000X
Registered Dietitian
Primary
86015621
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
11/24/2014
Last updated
11/24/2014
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