Individual
PARKER CHARLES LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1200 E BROAD ST, RICHMOND, VA 23298-5025
(804) 828-0970
(804) 628-0204
Mailing address
PO BOX 19171, PHILADELPHIA, PA 19171-8997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86170171
VA
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
LDN6548
MA
Other
Enumeration date
05/23/2023
Last updated
02/04/2025
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