Lavon Sue Lewis in Tahlequah - Dietitian, Registered
Lavon Sue Lewis - NPI 1205928751
Lavon Sue Lewis is a Dietitian, Registered in Tahlequah, Oklahoma. Lavon Sue Lewis practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Lavon Sue Lewis is 1205928751. The last update date is 2007-07-08.
Lavon Sue Lewis's current location address is 712 Janet St, Tahlequah, Oklahoma. You can contact this provider via phone number 9184566230 and fax number 9184566230. The mailing address for Lavon Sue Lewis is 712 Janet St, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lavon Sue Lewis |
|---|---|
| Address | 712 Janet St, Tahlequah, Oklahoma |
| Phone Number | 9184566230 |
| Fax Number | 9184566230 |
| Sole Proprietor | Y |
| Credentials | L.D.R.D. |
NPI Number Detail
| NPI Number | 1205928751 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 712 Janet St |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744647118 |
| Phone Number | 9184566230 |
| Fax Number | 9184566230 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 49 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identifier code issued to Lavon Sue Lewis by the Centers for Medicare & Medicaid Services (CMS)?
The Lavon Sue Lewis has been assigned the NPI (National Provider Identifier) 1205928751. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Lavon Sue Lewis's physical address?
The Lavon Sue Lewis is physically located at 712 Janet St, in the city of Tahlequah, OK, with the postal code 744647118.
What is the Lavon Sue Lewis's area of specialization and corresponding taxonomy classification?
The Lavon Sue Lewis's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lavon Sue Lewis receive the assignment of its 1205928751 from the Centers for Medicare & Medicaid Services?
The Lavon Sue Lewis was issued its 1205928751 by the Centers for Medicare & Medicaid Services on 2006-09-29.
When was the information pertaining to Lavon Sue Lewis most recently updated or revised?
The details related to Lavon Sue Lewis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.