Rhonda R Lively RD, LD

NPI 1124181706 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1124181706
Gender Female
Enumeration Date 12/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5342 LAWRENCEVILLE HWY NW
STE A
LILBURN GA, 30047-5952, US
Phone (678) 924-1546
Fax
Business Location
PO BOX 897
LAWRENCEVILLE GA, 30046-0897, US
Phone (770) 339-4260
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Georgia
License Number LD002321
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According to our database, Rhonda R Lively RD, LD NPI is 1124181706, taxonomy code is 133V00000X and license number is LD002321, license state is located at Georgia. Rhonda R Lively RD, LD physically located at 5342 Lawrenceville Hwy Nw, Lilburn GA, 30047-5952. NPI Number Rhonda R Lively RD, LD has the Individual type.

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1124181706 NPI number is provided on an as is basis without warranty of any kind. 1124181706 is maintained by the National Plan & Provider Enumeration System. The contents of Rhonda R Lively RD, LD are for informational purposes only.