Provider Demographics
NPI:1548407729
Name:LAMKIN, DEBRA MARIE (RD,LD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:MARIE
Last Name:LAMKIN
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 N WALKER AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1812
Mailing Address - Country:US
Mailing Address - Phone:405-601-4249
Mailing Address - Fax:
Practice Address - Street 1:435 N. WALKER AVE. STE. 201
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102
Practice Address - Country:US
Practice Address - Phone:405-601-4249
Practice Address - Fax:405-601-3960
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1236133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered