NPI 1063781110

Shellie Johnson Dore, RDLDN

Practitioner Registered Dietitian Lafayette, LA

Practice location

Address: 2390 W Congress St, Lafayette, LA 70506-4205
Phone: (337) 261-6113
Fax: (337) 261-6660

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1446 (LA)

Other Dietitian, Registered providers in Louisiana →

Registry record

NPI: 1063781110
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Dec 2011
Record last updated: 19 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.