Individual
LILY WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
80B GARDENIA DR, COVINGTON, LA 70433-9168
(985) 871-5900
Mailing address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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