Organization
LAKE NORMAN NUTRITION ASSOCIATES, LLC
Active
Other names
Lake Norman and Charlotte Nutrition Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIN KIMBERLY WOOTEN MS,RD,LDN,CDE (DIETITIAN,DIABETES EDUCATOR)
(704) 576-5001
Entity
Organization
Contact information
Practice address
16501 NORTHCROSS DR STE D, HUNTERSVILLE, NC 28078-5040
(704) 895-9865
(704) 895-9870
Mailing address
19809 NORTHCOVE RD # B, SUITE 108, CORNELIUS, NC 28031-6445
(704) 895-9865
(704) 895-9870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001079
NC
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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