Individual
MS. KATIE LYNN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
2379 BUFFALO RD, LAWRENCEBURG, TN 38464-4810
(931) 762-9406
Mailing address
2379 BUFFALO RD, LAWRENCEBURG, TN 38464-4810
(931) 762-9406
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2376
TN
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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