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Lavanya
Lavanya
Kethamukkala
Dietetics - nutritionist
Apex, United States
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Florida Health Care Practitioner Data Portal
Full name
Lavanya Kethamukkala
Job Title
Dietetics/Nutritionist
Location
Apex, NC, USA
Title
RDN
LIC ID
11314
Current License Expiration Date
31/05/2025
Original Date
05/08/2021
Professional Rank Code
ND
Effective Date
05/08/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
3508 Lily Orchard Way
Practice Location Address City
APEX
Practice Location Address State
NC
Practice Location Address Zipcode
27539
Prescribing Indicator
N
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