Individual
LORI MARIE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1022 GRANDIFLORA DR STE 120, LELAND, NC 28451-7006
(817) 368-9623
(910) 348-4717
Mailing address
1055 BONNIE BRAE ST NE, LELAND, NC 28451-8529
(817) 368-9623
(910) 348-4717
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L008688
NC
Other
Enumeration date
07/04/2025
Last updated
10/24/2025
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