Individual
LEA ANN THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
8200 CONSTANTIN BLVD FL 4, BATON ROUGE, LA 70809-3481
(225) 765-5500
(225) 374-1678
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0002
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
839
LA
Other
Enumeration date
09/22/2021
Last updated
09/30/2021
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