Provider Demographics
NPI:1316224736
Name:FRASER, MARGARET LAUREN (MA, RD/LD)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LAUREN
Last Name:FRASER
Suffix:
Gender:F
Credentials:MA, RD/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9636 N MAY AVE
Mailing Address - Street 2:STE 274
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-2727
Mailing Address - Country:US
Mailing Address - Phone:405-848-9344
Mailing Address - Fax:
Practice Address - Street 1:9636 N MAY AVE
Practice Address - Street 2:STE 274
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2727
Practice Address - Country:US
Practice Address - Phone:405-848-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1812133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered