Individual
LOLITA AGNES MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. , L.D
Contact information
Practice address
602 S LAWRENCE ST, MONTGOMERY, AL 36104-4787
(334) 293-7133
(334) 293-7374
Mailing address
602 S LAWRENCE ST, MONTGOMERY, AL 36104-4787
(334) 293-7133
(334) 293-7374
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
722
AL
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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