Juanita Lias
Nutritionist, Nutrition, Education in Lakeland, FL. Individual provider (NPI-1).
NPI number1912363219
StatusActive
Last updated in NPPESJan 4, 2016
Details
- NPI
- 1912363219
- Entity type
- Individual (NPI-1)
- Name
- Juanita Lias
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2016
- Last updated
- Jan 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | Yes |
Practice location
1209 Golconda RdLakeland, FL 33801-2121
Phone 863-688-9492
Mailing address
Po Box 24894Lakeland, FL 33802-4894
Phone 863-688-9492
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