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Organization
LOVE NUTRITION 4 LIFE, INC
Active
Organization
LOVE NUTRITION 4 LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE VICTORIA LUNDY MS, RD, LD (DIETITIAN/CEO)
(404) 441-8853
Entity
Organization
Contact information
Practice address
313 BROOKVIEW DRIVE, RIVERDALE, GA 30274-7205
(404) 441-8853
Mailing address
P.O. BOX 961831, RIVERDALE, GA 30296-7205
(404) 441-8853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003459
GA
Other
Enumeration date
02/18/2010
Last updated
01/26/2012
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