Individual provider · NPI-1
Sandra J Harrison, RD
Nutritionist · Lakeland, FL
NPI number1740407931
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1740407931
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sandra J Harrison
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | ND260 | FL | Yes |
Practice location
1324 Lakeland Hills BlvdLakeland, FL 33805-4543
Phone 863-687-1100 · Fax 863-687-1035
Mailing address
1324 Lakeland Hills BlvdLakeland, FL 33805-4543
Phone 863-687-1100 · Fax 863-687-1035
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.