Amy Lorraine Nutrition
Dietitian, Registered in Lexington, KY. Organization (NPI-2).
NPI number1972017663
StatusActive
Last updated in NPPESJan 10, 2018
Details
- NPI
- 1972017663
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Lorraine Nutrition
- Organization subpart
- No
- Enumeration date
- Nov 17, 2017
- Last updated
- Jan 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 121479 | KY | Yes |
Practice location
2620 Wilhite DrLexington, KY 40503-3385
Phone 859-278-6031 · Fax 859-277-7015
Mailing address
607 N BroadwayLexington, KY 40508-1435
Phone 859-221-5067
Authorized official
Amy Camenisch
Owner
8592215067
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