Individual
LINDSEY RAE MAZANEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION B3.07, DALLAS, TX 75235-7701
(214) 456-6287
(214) 456-6287
Mailing address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION B3.07, DALLAS, TX 75235-7701
(214) 456-6287
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT82000
TX
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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