Provider Demographics
NPI:1447079223
Name:LAWS, RACHELLE (RD)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:LAWS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 MORRISON TRL
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-6417
Mailing Address - Country:US
Mailing Address - Phone:816-200-3389
Mailing Address - Fax:
Practice Address - Street 1:1237 MORRISON TRL
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-6417
Practice Address - Country:US
Practice Address - Phone:816-200-3389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1964133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered