Suzanne Lynn Forsberg, RD, LD, CDE
Dietitian, Registered in Claremore, OK. Individual provider (NPI-1).
NPI number1497192249
StatusActive
Last updated in NPPESJun 3, 2013
Details
- NPI
- 1497192249
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Lynn Forsberg
- Credential
- RD, LD, CDE
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2013
- Last updated
- Jun 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 818967 | – | Yes |
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | LD990 | OK | |
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | 09720118 | – |
Practice location
14500 S 4240 RdClaremore, OK 74017-1127
Phone 918-352-5201
Mailing address
14500 S 4240 RdClaremore, OK 74017-1127
Phone 918-352-5201
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All 15 Registered Dietitian providers in Claremore · All 1,633 providers in Claremore
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