Doctor Name: | MRS. STACY LYNN COOK |
NPI Number: | 1801193032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D./L.D., CDE |
License Number: | 1479 |
Business Practice Address: | 2318 Se 44th St. Newcastle, OK - 730655831 |
Business Phone Number: | 4052260960 |
Business Fax Number: | |
Mailing Address: | 1804 Quail Run, NEWCASTLE |
State: | OK |
Postal Code: | 730655831 |
Phone Number: | 4052260960 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2011 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1479 |
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 |