Individual
LAUREN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1324 S WALNUT ST, STILLWATER, OK 74074-2661
(580) 761-3890
Mailing address
1324 S WALNUT ST, STILLWATER, OK 74074-2661
(580) 761-3890
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS NO. 17204
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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