Doctor Name: | MARIE LUDGATE |
NPI Number: | 1093086092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD, LDN |
License Number: | 001995 |
Business Practice Address: | 2900 Devils Glen Rd Bettendorf, IA - 527223363 |
Business Phone Number: | 5633492757 |
Business Fax Number: | |
Mailing Address: | 2900 Devils Glen Rd, BETTENDORF |
State: | IA |
Postal Code: | 527223363 |
Phone Number: | 5633492757 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2012 |
NPI Last Update Date: | 03/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 001995 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |