Individual
RHONDA R LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5342 LAWRENCEVILLE HWY NW, STE A, LILBURN, GA 30047-5952
(678) 924-1546
Mailing address
PO BOX 897, LAWRENCEVILLE, GA 30046-0897
(770) 339-4260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002321
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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