Carol Herendeen RD LD N

NPI 1033182472 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1033182472
Gender Female
Enumeration Date 02/08/2006
Last Updated 06/08/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 LAKELAND HILLS BLVD
LAKELAND FL, 33805, US
Phone (863) 680-7000
Fax (866) 264-8519
Business Location
PO BOX 95004
LAKELAND FL, 33804, US
Phone (863) 680-7206
Fax (863) 680-7420
Toxanomy
Taxonomy Code 133V00000X
License State Florida
License Number ND66
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According to our database, Carol Herendeen RD LD N NPI is 1033182472, taxonomy code is 133V00000X and license number is ND66, license state is located at Florida. Carol Herendeen RD LD N physically located at 1600 Lakeland Hills Blvd, Lakeland FL, 33805. NPI Number Carol Herendeen RD LD N has the Individual type.

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1033182472 NPI number is provided on an as is basis without warranty of any kind. 1033182472 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Herendeen RD LD N are for informational purposes only.