Individual
MS. LORENE A RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN, RD
Contact information
Practice address
433 PALM ST, BOGALUSA, LA 70427
(985) 730-6895
(985) 730-6898
Mailing address
433 PLAZA, BOGALUSA, LA 70427
(985) 730-6895
(985) 730-6898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
533
LA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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