Individual
AUDRA L. MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LDN, RD
Contact information
Practice address
2001 DOCTORS DR, SPRINGHILL, LA 71075-4526
(318) 539-1000
(318) 539-4085
Mailing address
2001 DOCTORS DR, SPRINGHILL, LA 71075-4526
(318) 539-1000
(318) 539-4085
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1680
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1680
DIETITIAN STATE LICENSE
LA
01
—
896972
REGISTERED DIETITIAN
LA
Enumeration date
07/28/2006
Last updated
10/18/2007
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