Individual
LORI ALANIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2021 GRANDSTAND DR, LASCASSAS, TN 37085-4360
(229) 560-2104
Mailing address
2021 GRANDSTAND DR, LASCASSAS, TN 37085-4360
(229) 560-2104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86111141
CDR
—
Enumeration date
11/29/2021
Last updated
11/29/2021
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