Individual
LISA M TUCKER-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7070 MILTON CT, MILTON, FL 32583-5448
(850) 698-8706
Mailing address
7070 MILTON CT, MILTON, FL 32583-5448
(850) 698-8706
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3011
AL
133V00000X
Registered Dietitian
Primary
ND9168
FL
Other
Enumeration date
07/02/2019
Last updated
04/16/2020
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