Organization
LIFE BALANCE NUTRITION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE CRUZ RD, LDN (CLINICAL DIETITIAN)
(910) 277-8922
Entity
Organization
Contact information
Practice address
1709B BERWICK DR, LAURINBURG, NC 28352-5523
(910) 277-8977
Mailing address
504 MONTROSE LN, LAURINBURG, NC 28352-5516
(910) 277-8977
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002616
NC
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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