Individual
ANDREW CLIFFORD LAKANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LD
Contact information
Practice address
174 1ST AVE N, ILWACO, WA 98624-9137
(360) 642-6314
Mailing address
174 1ST AVE N, ILWACO, WA 98624-9137
(360) 642-6314
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60678026
WA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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