Individual
LORI ELIZABETH-FONSECA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-1310
Mailing address
141 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-2666
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3438
LA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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