Organization
LANE REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ACOSTA (CLINICAL DIETITIAN)
(225) 658-4347
Entity
Organization
Contact information
Practice address
6300 MAIN ST, ZACHARY, LA 70791-4037
(225) 658-4347
Mailing address
6300 MAIN ST, ZACHARY, LA 70791-4037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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