Elizabeth Douglass

NPI #1972952638 in London, Ohio

Provider Information

NPI Number: 1972952638
Entity Type: Individual
Name: Elizabeth Douglass
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Jun 3, 2016
Last Updated: Jun 3, 2016

Practice Location

Address: 210 N MAIN ST
City: London
State: Ohio
ZIP Code: 43140-1115
Phone: (740) 845-7094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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