Individual
MARY KRISTINA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-2880
Mailing address
325 HIGHWAY 287, GREENBRIER, AR 72058-9682
(501) 733-2997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1090
AR
Other
Enumeration date
06/13/2008
Last updated
03/27/2009
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