Provider Demographics
NPI:1639898638
Name:OVERSTREET, LINDSEY (RDN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:OVERSTREET
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W 3RD ST STE 800
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74103-3411
Mailing Address - Country:US
Mailing Address - Phone:918-585-3045
Mailing Address - Fax:918-585-3047
Practice Address - Street 1:115 W 3RD ST STE 800
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-3411
Practice Address - Country:US
Practice Address - Phone:918-585-3045
Practice Address - Fax:918-585-3047
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered