Individual
MRS. LISA BUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N
Contact information
Practice address
1013 TALLOW TREE DR, MANDEVILLE, LA 70448-6401
(985) 373-5573
Mailing address
1013 TALLOW TREE DR, MANDEVILLE, LA 70448-6401
(985) 373-5573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1287
LA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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