Individual
LYNNE RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-4663
(404) 778-4991
Mailing address
1365 CLIFTON RD NE FL 3, ATLANTA, GA 30322-4663
(404) 778-4991
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001285
GA
Other
Enumeration date
08/09/2006
Last updated
08/24/2020
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