Individual
MR. ADAM KEITH LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD/LDN
Contact information
Practice address
1552 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33401-2302
(954) 292-5625
(772) 334-8781
Mailing address
450 MULBERRY GROVE RD, ROYAL PALM BEACH, FL 33411-4531
(954) 292-5625
(772) 334-8781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2293
FL
136A00000X
Registered Dietetic Technician
ND2293
FL
Other
Enumeration date
11/26/2008
Last updated
09/30/2020
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