MEDICARE: MS. MARGARET LAUREN FRASER MA, RD/LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	1812	OK

General Provider Information

NPI Number	:	1316224736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET LAUREN FRASER MA, RD/LD

Provider Business Mailing Address
First Line	:	9636 N MAY AVE
Second Line	:	STE 274
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2727
Country	:	US
Telephone Number	:	405-848-9344
Fax Number	:

Provider Business Practice Location Address
First Line	:	9636 N MAY AVE
Second Line	:	STE 274
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2727
Country	:	US
Telephone Number	:	405-848-9344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	11/14/2011

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