Individual
MS. LAKSHMI MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
2125 YELLOW MOUNTAIN RD SE APT 104, ROANOKE, VA 24014-2422
(352) 215-6902
Mailing address
2125 YELLOW MOUNTAIN RD SE APT 104, ROANOKE, VA 24014-2422
(352) 215-6902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005450
IL
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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