SearchTexas133V00000X

Charlotte Lively, RD

NPI 1114041290 · on the registry since 2007 · sole proprietor

Practice

Address
2000 N Jefferson Ave
Mt Pleasant, TX 75455
Phone
(903) 577-6198
Fax
(903) 577-6445

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas