Anna Lauren Wallace, RD, LD
NPI #1811318942 in Mendenhall, Mississippi
Provider Information
- NPI Number
- 1811318942
- Entity Type
- Individual
- Name
- Anna Lauren Wallace, RD, LD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, LD
- Enumeration Date
- Dec 16, 2013
- Last Updated
- Dec 26, 2013
Practice Location
- Address
- 102 N. MAIN ST.
- City
- Mendenhall
- State
- Mississippi
- ZIP Code
- 39114
- Phone
- (601) 847-2511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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