Individual
MRS. LYDIA STARNS HOOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LDN, RD
Contact information
Practice address
12670 SIMMS RD, DENHAM SPRINGS, LA 70706-0462
(225) 387-7678
(225) 387-7670
Mailing address
12670 SIMMS RD, DENHAM SPRINGS, LA 70706-0462
(225) 387-7678
(225) 387-7670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1878
LDN #
LA
01
—
930875
CDR ID #
LA
Enumeration date
05/14/2007
Last updated
07/09/2007
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