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Individual

LINDA LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDLD

Contact information

Practice address
124 CAPTAIN QUARTERS DR, ANDALUSIA, AL 36420-4922
(270) 584-2723
Mailing address
124 CAPTAIN QUARTERS DR, ANDALUSIA, AL 36420-4922
(270) 584-2723

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2508
AL
133V00000X
Registered Dietitian
Primary
725057
IL

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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