Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNA LAUREN WALLACE, RD, LD
ActiveANNA LAUREN WALLACE, RD, LD is a Registered Dietitian healthcare provider located in MENDENHALL, Mississippi. NPI 1811318942 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · MENDENHALL, MS
Registration Details
- NPI Number
- 1811318942
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2013 (12.478938119945 yrs)
- Last Updated
- Dec 26, 2013
- License
-
D1609 (MS)
Practice Information
- Address
-
102 N. MAIN ST.MENDENHALL, MS, 39114Browse MS providers · Browse ZIP 39114
- Phone
- 6018472511
- Fax
- 6018470931
- Primary Specialty
-
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.