Individual
MRS. EMILY J LAWRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CDE
Contact information
Practice address
2000 S WHEELING AVE STE 920, TULSA, OK 74104
(918) 947-5980
(918) 746-2230
Mailing address
2000 S WHEELING AVE STE 920, TULSA, OK 74104-5649
(918) 947-5980
(918) 746-2230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1802
AR
133V00000X
Registered Dietitian
Primary
1918
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1802
LICENSED DIETICIAN - AR
AR
01
—
1918
LICENSED DIETICIAN - OK
OK
05
—
200689180A
—
OK
Enumeration date
12/08/2015
Last updated
01/10/2020
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