Individual
MRS. LARISA LILES PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN RD
Contact information
Practice address
1000 WALTERS ST, LSU W O MOSS REGIONAL MEDICAL CENTER, LAKE CHARLES, LA 70607-4699
(337) 475-8140
Mailing address
200 ARLINGTON DR, LAKE CHARLES, LA 70605
(337) 475-8140
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1772
LA
133V00000X
Registered Dietitian
853413
IL
Other
Enumeration date
07/14/2006
Last updated
07/09/2007
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