Individual
LAUREN ALISON NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/LD
Contact information
Practice address
3500 NW 164TH TER, EDMOND, OK 73013-9471
(405) 401-6880
Mailing address
3500 NW 164TH TER, EDMOND, OK 73013-9471
(405) 401-6880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1876
OK
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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