SearchOklahoma133V00000X

Lori Mathews, RD,LD

NPI 1326646852 · on the registry since 2020 · sole proprietor

Practice

Address
1611 N Broadway Ave
Oklahoma City, OK 73103
Phone
(405) 204-5157
Organisation at this address
Functional Wellness Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma