Individual
JULIE AMBER LOVISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
6913 N MAIN ST, GRANGER, IN 46530-9601
(574) 647-6400
Mailing address
3355 DOUGLAS RD, STE. 300, SOUTH BEND, IN 46635-1781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001507A
IN
Other
Enumeration date
11/02/2005
Last updated
03/18/2010
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