Organization
REACTIVE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANAH J BRENNAN RD, LDN (OWNER)
(337) 255-8557
Entity
Organization
Contact information
Practice address
4540 AMBASSADOR CAFFERY PKWY, C240, LAFAYETTE, LA 70508-6928
(337) 255-8557
(337) 504-2421
Mailing address
117 EMILY CIR, LAFAYETTE, LA 70508-6755
(337) 255-8557
(337) 504-2421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2156
LA
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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