Organization
NUTRITIOUS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA HICKS RDN, LD (REGISTERED DIETITIAN)
(580) 354-5000
Entity
Organization
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5000
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2010
OK
Other
Enumeration date
07/27/2017
Last updated
12/17/2019
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