Individual
MRS. CARYN MCBRIDE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 292-5108
Mailing address
11576 CRIPPLE CREEK RD, BERRY, AL 35546-4422
(205) 292-5108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1353
AL
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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