PATRICIA BRIDGET LANE

PORT ST LUCIE, FL
NPI1760245716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   86015440)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: FL  ND10141)
133V00000X Dietitian, Registered
(Licence: NM  LD-2023-048)
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management
(Licence: TX  DT86915)
Enumeration Date2024-02-02
Last Update Date2024-08-20
Business Address
Ms. PATRICIA BRIDGET LANE RDN, LD/N, LD
2225 SE GASLIGHT ST
PORT ST LUCIE, FL 34952-7332
Phone number: 954-592-2502
Mailing Address
Ms. PATRICIA BRIDGET LANE RDN, LD/N, LD
2225 SE GASLIGHT ST
PORT ST LUCIE, FL 34952-7332
Phone number: 954-592-2502