Organization
L&M NUTRITION SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY LISA WALDROOP MS,RD/LD (REGISTERED DIETITIAN)
(918) 406-9718
Entity
Organization
Contact information
Practice address
4900 S REDBUD AVE, BROKEN ARROW, OK 74011-4263
(918) 406-9718
Mailing address
4900 S REDBUD AVE, BROKEN ARROW, OK 74011-4263
(918) 406-9718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
133V00000X
OK
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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