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Individual

LISA I AKLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
9 MEDICAL PARK STE 600, PALMETTO HEALTH RICHLAND, COLUMBIA, SC 29203
(803) 296-2548
(803) 296-2548
Mailing address
293 GREYSTONE BLVD, PALMETTO HEALTH, COLUMBIA, SC 29210
(803) 296-2548
(803) 296-2548

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
158
SC

Other

Enumeration date
09/23/2008
Last updated
09/23/2008
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