Individual
MRS. LEXANN PATE BURSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
9215 MILLBRANCH RD, SOUTHAVEN, MS 38671-1423
(662) 548-8075
Mailing address
9215 MILLBRANCH RD, SOUTHAVEN, MS 38671-1423
(662) 548-8075
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0000001989
TN
Other
Enumeration date
11/04/2010
Last updated
12/11/2012
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