Individual
JOHANNA LAWRENCE RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
918 LUCERNE TER, ORLANDO, FL 32806-1013
(407) 894-1444
Mailing address
1807 GARDEN LAKE DR, WINTER HAVEN, FL 33884-3102
(817) 715-3999
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6594
FL
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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