Individual
MS. STACY LEA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6194
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
997106
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1653
OKLA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
01
—
997106
AMERICAN DIETETIC ASSOCIATION
OK
Enumeration date
03/30/2010
Last updated
07/30/2012
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