Ms Christie Lea Coggburn, RD, LD,CSR | |
100 S Bliss Ave, Tahlequah, OK 74464-2512 | |
(918) 458-3178 | |
Not Available |
Full Name | Ms Christie Lea Coggburn |
---|---|
Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Renal |
Location | 100 S Bliss Ave, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861610503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1005X | Dietitian, Registered - Nutrition, Renal | LD982 (Oklahoma) | Primary |
Provider Name | Lawton Indian Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301 |
Provider Name | Anadarko Indian Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881637403 PECOS PAC ID: 7719931559 Enrollment ID: O20050304000365 |
Mailing Address | Practice Location Address |
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Ms Christie Lea Coggburn, RD, LD,CSR 118 Eubanks, Tahlequah, OK 74464-8841 Ph: (918) 431-1515 | Ms Christie Lea Coggburn, RD, LD,CSR 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3178 |
Tori Geasland, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1321 W Red Oak St, Tahlequah, OK 74464 Phone: 918-457-9849 | |
Sarah Hope Fitzgerald, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3880 Highland Dr, Tahlequah, OK 74464 Phone: 985-290-8611 | |
Ms. Lavon Sue Lewis, L.D.R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 712 Janet St, Tahlequah, OK 74464 Phone: 918-456-6230 Fax: 918-456-6230 | |
Mrs. Tonya Rae Swim, RD Dietitian Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3180 | |
Tera Beth Windham, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Elizabeth Jo Havard, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 | |
April Dirteater, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2061 Mahaney Ave, Tahlequah, OK 74464 Phone: 918-207-5087 |