Mary Trahan Lively, LDN, RD Valid NPI
Individual provider · Registered Dietitian · Delhi, LA
- NPI
- 1952396871
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 858 (LA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-09-16
- Last updated
- 2007-07-08
Practice location
365 Highway 609
Delhi, LA 71232-6563
(318) 878-6760