Individual
TRACEY ELIZABETH TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
3236 KIRKMAN ST, LAKE CHARLES, LA 70601-8640
(337) 480-2632
(337) 475-8613
Mailing address
4650 NELSON RD APT 616, LAKE CHARLES, LA 70605-0801
(337) 479-0473
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1847
LA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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