Individual
SAMANTHA A RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1920 W SALE RD # F2, LAKE CHARLES, LA 70605-2400
(337) 310-3670
(337) 421-1408
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1378
LA
Other
Enumeration date
04/07/2006
Last updated
05/27/2025
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