Charlotte Lorraine Lively, RD
NPI #1114041290 in Mt Pleasant, Texas
Provider Information
- NPI Number
- 1114041290
- Entity Type
- Individual
- Name
- Charlotte Lorraine Lively, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Jan 8, 2014
Practice Location
- Address
- 2000 N JEFFERSON AVE
- City
- Mt Pleasant
- State
- Texas
- ZIP Code
- 75455-2337
- Phone
- (903) 577-6198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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