Individual
RANDALL CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7584
(337) 289-7579
Mailing address
106 WINDCHASE DR, PO BOX 52009, LAFAYETTE, LA 70508-6546
(337) 289-7584
(337) 289-7579
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1964
LA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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