Individual
MS. LORI ANN SCHOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD, CBS
Contact information
Practice address
615 PONCE DE LEON PL, DECATUR, GA 30030-5108
(404) 566-4538
(404) 566-4539
Mailing address
PO BOX 1623, DECATUR, GA 30031-1623
(404) 566-4538
(404) 566-4538
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004058
GA
133VN1004X
Pediatric Nutrition Registered Dietitian
LD004058
GA
174N00000X
Lactation Consultant (Non-RN)
LD004058
GA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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