Individual
LIZA SOUTHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
918 LUCERNE TER, ORLANDO, FL 32806-1013
(407) 894-1444
Mailing address
2502 RIVERSIDE PKWY APT 928, GRAND PRAIRIE, TX 75050-7980
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
11/15/2025
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