Most Relevant Information
Provider Data
| NPI Number: | 1003403171 |
| Provider Name: | CARMEN ALEXIS MILLER MS, RDN, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 3091 |
Most Important Dates
| Enumeration Date: | 12/23/2020 |
| Last Updated: | 02/24/2021 |
Provider Practice Location
4650 AMBASSADOR CAFFERY PKWY STE 101
LAFAYETTE
LA
705086926
Practice Location Phone/Fax
| Phone: | 3374707870 |
| Fax: |
Provider Mailing Location
4650 AMBASSADOR CAFFERY PKWY STE 101
LAFAYETTE
LA
705086926
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |