LAVON SUE LEWIS

TAHLEQUAH, OK
NPI1205928751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  49)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
Ms. LAVON SUE LEWIS L.D.R.D.
712 JANET ST
TAHLEQUAH, OK 74464-7118
Phone number: 918-456-6230
Mailing Address
Ms. LAVON SUE LEWIS L.D.R.D.
712 JANET ST
TAHLEQUAH, OK 74464-7118
Phone number: 918-456-6230