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Lola Walston, RD, LD

Dietitian, Registered in Springfield, OH. Individual provider (NPI-1).

NPI number1154597474
StatusActive
Last updated in NPPESMay 6, 2008

Details

NPI
1154597474
Entity type
Individual (NPI-1)
Name
Lola Walston
Credential
RD, LD
Sex
Female
Sole proprietor
Yes
Enumeration date
May 6, 2008
Last updated
May 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredLD 729OHYes

Practice location

4185 Grossepoint
Springfield, OH 45502-9716

Phone 937-323-9976

Mailing address

4185 Grossepoint
Springfield, OH 45502-9716

Phone 937-323-9976

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