Provider Demographics
NPI:1144645672
Name:SITTON, LESLIE K (RD,LD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:K
Last Name:SITTON
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 N BRYANT AVE
Mailing Address - Street 2:SUITE A-9
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6025
Mailing Address - Country:US
Mailing Address - Phone:405-285-4762
Mailing Address - Fax:405-285-4352
Practice Address - Street 1:120 N BRYANT AVE
Practice Address - Street 2:SUITE A-9
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6025
Practice Address - Country:US
Practice Address - Phone:405-285-4762
Practice Address - Fax:405-285-4352
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered