Organization
LANA COXTON NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANA K COXTON RD (OWNER/ADMINISTRATOR)
(313) 318-7612
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 479, SOUTHFIELD, MI 48075-3769
(313) 318-7612
Mailing address
PO BOX 1692, BELLEVILLE, MI 48112-1692
(313) 318-7612
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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