Individual
KELLIE LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11301 WILSHIRE BLVD # 120, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1841 1/2 KELTON AVE, LOS ANGELES, CA 90025-4535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86067958
CA
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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