Individual
COURTNEY DREVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D./L.D.
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5671
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5671
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1939
OK
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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