Doctor Name: | JEAN LAND |
NPI Number: | 1063438240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 164001241 |
Business Practice Address: | 2300 N Vermilion St Danville, IL - 618321735 |
Business Phone Number: | 2174317615 |
Business Fax Number: | |
Mailing Address: | P.o. Box 6002, URBANA |
State: | IL |
Postal Code: | 618036002 |
Phone Number: | 2173268300 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 12/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164001241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |