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Organization

ADVANCED NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE ANN LAMBOURNE RDN (OWNER/REGISTERED DIETITIAN)
(775) 870-2251
Entity
Organization

Contact information

Practice address
843 E MAIN ST STE 303, MEDFORD, OR 97504-7137
(458) 299-6858
(541) 972-8826
Mailing address
16 GENEVA ST, MEDFORD, OR 97504-7110
(775) 870-2251

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/20/2025
Last updated
12/04/2025
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