Individual
LISA MARY ANNA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1855 AMES BLVD, MARRERO, LA 70072-3429
(504) 349-8802
Mailing address
1914 WASHINGTON AVE, NEW ORLEANS, LA 70113-1730
(509) 690-7192
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00992520
LA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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