Lauren Iacobucci, | |
901 N Porter Ave, Norman, OK 73071-6404 | |
(401) 473-4581 | |
Not Available |
Full Name | Lauren Iacobucci |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 901 N Porter Ave, Norman, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225503402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | LDN01331 (Rhode Island) | Primary |
Provider Name | Rhode Island Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902902364 PECOS PAC ID: 8921900044 Enrollment ID: O20051022000063 |
Mailing Address | Practice Location Address |
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Lauren Iacobucci, 901 N Porter Ave, Norman, OK 73071-6404 Ph: () - | Lauren Iacobucci, 901 N Porter Ave, Norman, OK 73071-6404 Ph: (401) 473-4581 |
Mrs. Elizabeth S Squires Stapley, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 801-891-5091 | |
Lauren Annette Oakley, M.S, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 909 26th Ave Nw, Norman, OK 73069 Phone: 405-801-2323 | |
Sophia Louise Martz, MA, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2002 E Robinson St, Norman, OK 73071 Phone: 405-307-2800 | |
Laura Elizabeth Stout, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2405 Palmer Cir Ste 100, Norman, OK 73069 Phone: 405-561-7928 Fax: 405-310-9944 | |
Courtney E Crouse, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2002 E Robinson St, Norman, OK 73071 Phone: 405-410-6734 | |
Jordan Lynn Chappell, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 909 26th Ave Nw, Norman, OK 73069 Phone: 405-857-7224 | |
Bryce Wentzell, Dietitian Medicare: Medicare Enrolled Practice Location: 212 N Flood Ave, Norman, OK 73069 Phone: 317-474-1762 |