Individual
MRS. ELIZABETH LEWIS OLLENDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CDCES
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4992
Mailing address
510 E STONER AVE DEPT 120, SHREVEPORT, LA 71101-4243
(318) 286-1007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
LA
Other
Enumeration date
09/16/2010
Last updated
02/27/2024
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