Individual
LYDIA ABIGAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
150 RUBY R CT, JONESBOROUGH, TN 37659-4655
(318) 510-6773
Mailing address
150 RUBY R CT, JONESBOROUGH, TN 37659-4655
(318) 510-6773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3452
LA
Other
Enumeration date
10/05/2022
Last updated
10/22/2024
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