Individual
MRS. SHELLIE JOHNSON DORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6113
(337) 261-6660
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6113
(337) 261-6660
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1446
LA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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