| Doctor Name: | MRS. TERESA SUSANNE SCARBROUGH |
| NPI Number: | 1134370158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD/LD |
| License Number: | LD1003 |
| Business Practice Address: | 3401 W Gore Blvd Lawton, OK - 735056332 |
| Business Phone Number: | 5803558699 |
| Business Fax Number: | 5805855461 |
| Mailing Address: | Hc 64 Box 20a2, MARLOW |
| State: | OK |
| Postal Code: | 730558902 |
| Phone Number: | 5803558699 |
| Fax Number: | 5805855461 |
| NPI Enumeration Date: | 10/08/2008 |
| NPI Last Update Date: | 10/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD1003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |