Individual
LAVETTA A MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
5150 TIMUQUANA RD., JACKSONVILLE, FL 32210-8959
(904) 253-1510
(904) 253-2517
Mailing address
5150-9 TIMUQUANA RD., JACKSONVILLE, FL 32210-8959
(904) 253-1510
(904) 253-2517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4949
FL
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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