MACKENZIE MARIE LANE

CHARLOTTE, NC
NPI1629855663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CT  86174533)
Enumeration Date2023-09-13
Last Update Date2023-09-13
Business Address
MACKENZIE MARIE LANE RD
1001 BLYTHE BLVD
CHARLOTTE, NC 28203-5866
Phone number: 704-381-8840
Mailing Address
MACKENZIE MARIE LANE RD
1315 EAST BLVD
CHARLOTTE, NC 28203-5975
Phone number: 860-710-5870