Doctor Name: | MS. TRACY M ACKERMAN |
NPI Number: | 1033117569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 64-029 |
Business Practice Address: | 507 S Monroe St Lancaster, WI - 538132054 |
Business Phone Number: | 6087233262 |
Business Fax Number: | 6057236325 |
Mailing Address: | 1047 W Maple St, LANCASTER |
State: | WI |
Postal Code: | 538131524 |
Phone Number: | 6087232143 |
Fax Number: | 6087236325 |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 64-029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |