Organization
FULL CIRCLE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA WILLIAMS MS,RD,LD (OWNER/DIETITIAN)
(940) 380-8780
Entity
Organization
Contact information
Practice address
721 N LOCUST ST, DENTON, TX 76201-2950
(940) 380-8780
(940) 380-8788
Mailing address
721 N LOCUST ST, DENTON, TX 76201-2950
(940) 380-8780
(940) 380-8788
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283593601
—
TX
05
—
283593602
—
TX
Enumeration date
03/25/2009
Last updated
06/17/2013
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