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Julie Ellison, RD

Dietitian, Registered in Lakeland, FL. Individual provider (NPI-1).

NPI number1932441573
StatusActive
Last updated in NPPESMar 21, 2013

Details

NPI
1932441573
Entity type
Individual (NPI-1)
Name
Julie Ellison
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 21, 2013
Last updated
Mar 21, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredND 5144FLYes

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Phone 863-687-1100

Mailing address

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

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