Individual
DORIANN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
619 S MARION AVE, NUTRITION AND FOOD SERVICES, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, NUTRITION AND FOOD SERVICES, LAKE CITY, FL 32025-5808
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011214
REGISTERED DIETITIAN- ACADEMY OF NUTRITION AND DIETETICS
—
01
—
6697
LICENSED DIETITIAN- FLORIDA DEPARTMENT OF HEALTH
—
Enumeration date
11/08/2013
Last updated
11/08/2013
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