Lori Maddox, MS RD LD
NPI #1699979856 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1699979856
- Entity Type
- Individual
- Name
- Lori Maddox, MS RD LD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS RD LD
- Enumeration Date
- Jun 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2101 W 42ND AVE
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-6919
- Phone
- (870) 534-7917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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