Organization
LIFTED NUTRITION LLC
Active
Other names
Lifted Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN ORGERON RD, LDN, CPT (OWNER)
(985) 227-9445
Entity
Organization
Contact information
Practice address
1410 TIGER DR, THIBODAUX, LA 70301-4337
(985) 227-9445
Mailing address
1410 TIGER DR, THIBODAUX, LA 70301-4337
(985) 227-9445
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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