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Ms. Christie Lea Coggburn, RD,LD,CSR
Renal Nutrition Registered Dietitian in Tahlequah, Oklahoma
NPI 1861610503

Christie Lea Coggburn is a Renal Nutrition Registered Dietitian based in Tahlequah, OK and is specialized in Nutrition, Renal. Christie Lea Coggburn practices in Tahlequah, OK and has the professional credentials of RD,LD,CSR. The NPI Number for Christie Lea Coggburn is 1861610503 and holds a License No. LD982 (Oklahoma).

The current practice location address for Christie Lea Coggburn is 100 S Bliss Ave, Tahlequah, OK and can be reached out via phone at 918-458-3178.

Location: 100 S Bliss Ave, Tahlequah, OK, 74464-8841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861610503
Provider Name
Christie Lea Coggburn
Credential
RD,LD,CSR
Provider Entity Type
Individual
Gender
Female
Address
100 S Bliss Ave, Tahlequah, OK, 74464-8841
Phone Number
918-458-3178
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3178
Fax Number
person
Provider Business Mailing Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3178
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Renal
Taxonomy
133VN1005X
License No.
LD982 (Oklahoma)
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
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