Lanie Renee Boullion
Individual provider Active NPI Registered Dietitian · Kaplan, LA
NPI 1447081773 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1447081773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3197 (LA)
- Practice address
- 16733 W la Hwy 700
Kaplan, LA 70548-6454 - Phone
- (337) 652-1669
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3197 | LA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3197 | LA | Yes |
Addresses
Primary practice location
16733 W la Hwy 700
Kaplan, LA 70548-6454
Mailing address
16733 W la Hwy 700
Kaplan, LA 70548-6454
Phone (337) 652-1669
Other providers in Kaplan, LA
- Amanda Baudoin
- Jennifer Snellgrove Baum
- Scott James Bergeaux
- Sureshkumar Himatlal Bhatt
- Lori Blanchard
- Tammany Boutte
- Calcasieu Urgent Care LLC
- Carl J Richard, M.D.
- Children & Adolescent Clinic
- Chiropractic Pain Management & Injury Clinic
All providers in Kaplan, LA · Registered Dietitian in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.