Provider Demographics
NPI:1629212063
Name:OLSEN SHARP, L FRANCOISE (RD, LD, MS)
Entity Type:Individual
Prefix:MS
First Name:L
Middle Name:FRANCOISE
Last Name:OLSEN SHARP
Suffix:
Gender:F
Credentials:RD, LD, MS
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:FRANCOISE
Other - Last Name:OLSEN SHARP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:825 NE 10TH ST., STE 5200
Mailing Address - Street 2:OKLAHOMA CITY
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5417
Mailing Address - Country:US
Mailing Address - Phone:405-271-8299
Mailing Address - Fax:
Practice Address - Street 1:825 NE 10TH ST., STE 5200
Practice Address - Street 2:OKLAHOMA CITY
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-8299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLD709133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered