Individual
DIANE MARIE LAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDN LDN
Contact information
Practice address
165 ESTATE DR, EADS, TN 38028-3133
(901) 482-1279
(731) 658-4216
Mailing address
165 ESTATE DR, EADS, TN 38028-3133
(901) 482-1279
(731) 658-4216
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1591
TN
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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