Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Lauren Wallace, RD, LD

Individual provider Registered Dietitian · NPI 1811318942

Anna Lauren Wallace, RD, LD is a Registered Dietitian in Mendenhall, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

102 N Main St
Mendenhall, MS 39114
Phone: (601) 847-2511
Fax: (601) 847-0931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D1609 (MS)

Record details

NPI number1811318942
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedDecember 16, 2013
Last updated in NPPESDecember 26, 2013

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