Doctor Name: | LORI M CRASSI |
NPI Number: | 1114967346 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD/CDE |
License Number: | 003086 |
Business Practice Address: | Lionel R John Health Center 987 Rc Hoag Drive Salamanca, NY - 14779 |
Business Phone Number: | 7169455894 |
Business Fax Number: | 7169455889 |
Mailing Address: | Lionel R John Health Center, 987 Rc Hoag Drive SALAMANCA |
State: | NY |
Postal Code: | 14779 |
Phone Number: | 7169455894 |
Fax Number: | 7169455889 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 003086 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |