Individual
LORI ANN OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
(210) 615-5596
Mailing address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
(210) 615-5596
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
818927
TX
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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