| Mnt Diabetes Services | |
|
3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | |
| (580) 250-6407 | |
| (580) 355-5893 |
| Full Name | Mnt Diabetes Services |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 3201 W Gore Blvd, Lawton, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285886713 | NPI | - | NPPES |
| 100810030L | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mnt Diabetes Services Po Box 785, Lawton, OK 73502-0785 Ph: (580) 357-9984 | Mnt Diabetes Services 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 Ph: (580) 250-6407 |
Jamika Alise Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3501 E Gore Blvd Apt 221, Lawton, OK 73501 Phone: 804-704-2966 | |
Ms. Bandy Jo Rackley, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 5110 W Gore Blvd, Lawton, OK 73505 Phone: 580-713-3123 | |
Amber Dawn Felty, RDN/LD Dietitian Medicare: Medicare Enrolled Practice Location: 4006 Ne Realtree Dr, Lawton, OK 73507 Phone: 580-215-9465 | |
Mrs. Teresa Susanne Scarbrough, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8699 Fax: 580-585-5461 | |
Mrs. Jo Ann Holland, R.D., L.D.,C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-354-5240 Fax: 580-354-5105 | |
Jan Marie Miller, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-585-5554 Fax: 580-355-5893 |