Individual
ANDREA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRDLDN
Contact information
Practice address
9133 FLETCHER TRACE PKWY, LAKELAND, TN 38002-4115
(901) 485-9385
Mailing address
9133 FLETCHER TRACE PKWY, LAKELAND, TN 38002-4115
(901) 485-9385
Taxonomy
Speciality
Code
Description
License number
State
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary
LDN1467
TN
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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