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RANDALL CONNELL, RD – NPI #1780770081
Nutrition, Education

NPI Profile for RANDALL CONNELL in LAFAYETTE, LA.

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Contact Information

RANDALL CONNELL, RD
1214 COOLIDGE BLVD
LAFAYETTE, LA  70503-2621
 Phone: 337-289-7584
 Fax: 337-289-7579
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nutrition, Education

 133NN1002X
Indicates primary specialty

NPI Profile & details for RANDALL CONNELL · (Male)

NPI Number 1780770081
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 10/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 1964
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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