Jan Marie Miller, RD
Dietitian, Registered, Nutrition, Metabolic in Lawton, OK. Individual provider (NPI-1).
NPI number1245452002
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245452002
- Entity type
- Individual (NPI-1)
- Name
- Jan Marie Miller
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | LD 574 | OK | Yes |
Practice location
3401 W Gore BlvdLawton, OK 73505-6332
Phone 580-585-5554 · Fax 580-355-5893
Mailing address
3401 W Gore BlvdLawton, OK 73505-6332
Phone 580-585-5554 · Fax 580-355-5893
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