Individual
BONNIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15481 W CLUB DELUXE RD, HAMMOND, LA 70403-1466
(985) 543-4880
(985) 543-4888
Mailing address
15481 W CLUB DELUXE RD, HAMMOND, LA 70403-1466
(985) 543-4880
(985) 543-4888
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1118
LA
Other
Enumeration date
07/24/2012
Last updated
07/31/2012
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