Individual
BARBARA GRIGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN, RD
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 310-1161
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 310-1161
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1020
LA
133V00000X
Registered Dietitian
Primary
1020
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020
LICENSED DIETITIAN/NUTRIRTIONIST
LA
01
—
455233
COMMISSION ON DIETETIC REGISTRATION CREDENTIAL VERIFICATION CERTIFICATE
LA
Enumeration date
11/17/2016
Last updated
11/17/2016
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