Individual
MRS. LAVANYA JANARDAN SRINIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3787 DOCTORS DR, SUITE #107, PORT ARTHUR, TX 77642-5514
(409) 983-2039
(409) 983-4209
Mailing address
4680 REAGAN ST, BEAUMONT, TX 77706-7466
(409) 899-4428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04993
TX
Other
Enumeration date
11/11/2006
Last updated
07/08/2007
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