Individual
REBECCA LEIGH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD, IFNCP
Contact information
Practice address
500 SW 44TH ST, MOORE, OK 73160-1353
(405) 254-0208
Mailing address
500 SW 44TH ST, MOORE, OK 73160-1353
(405) 254-0208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2416
OK
Other
Enumeration date
07/24/2019
Last updated
07/20/2023
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