Individual
MS. LYDIA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
111 MURPHREE AVE, CENTERVILLE, TN 37033-1418
(931) 729-3516
Mailing address
111 MURPHREE AVE, CENTERVILLE, TN 37033-1418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000002498
TN
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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