Individual
LOLA WALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4185 GROSSEPOINT, SPRINGFIELD, OH 45502-9716
(937) 323-9976
Mailing address
4185 GROSSEPOINT, SPRINGFIELD, OH 45502-9716
(937) 323-9976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 729
OH
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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