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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARISSA M HANCOCK, RD/LD

Active

LARISSA M HANCOCK, RD/LD is a Registered Dietitian healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1790024800 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · TAHLEQUAH, OK

Registration Details

NPI Number
1790024800
Provider Type
Individual
Gender
Female
NPI Issued
Feb 8, 2013 (13.474251804015 yrs)
Last Updated
Apr 12, 2016
License
1905 (OK)

Practice Information

Address
100 S BLISS AVE
TAHLEQUAH, OK, 744642512
Browse OK providers · Browse ZIP 74464
Phone
9187724702
Fax
9184583464
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in TAHLEQUAH, OK

Name Credential NPI
ANN LOIS FLADIE R.D., L.D. 1811092729
MS. LAVON SUE LEWIS L.D.R.D. 1205928751
MR. TRAVIS LEE SCOTT R.D. 1932292588
TERA BETH WINDHAM RD LD 1437210408
MRS. TONYA RAE SWIM RD 1316234321
FELICIA SIMPSON MPPD, RD/LD 1962863704
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.