Individual
LISA RENEE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
901 E CHEVES ST, SUITE 400, FLORENCE, SC 29506-2716
(843) 777-5701
(843) 777-7320
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7300
(843) 777-7311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
358
SC
Other
Enumeration date
06/15/2011
Last updated
06/16/2011
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