Individual
LILLIAN MICHELLE STEPHENS CASTILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 CAPITOL AVE, CROWLEY, LA 70526
(337) 788-7507
(337) 788-7757
Mailing address
1029 CAPITAL AVE, CROWLEY, LA 70526
(337) 788-7507
(337) 788-7577
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
868
LA
133V00000X
Registered Dietitian
Primary
868
LA
Other
Enumeration date
07/31/2012
Last updated
08/01/2012
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