Doctor Name: | BARBARA FIELDMAN |
NPI Number: | 1124331418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,LDN, CDE |
License Number: | ND222 |
Business Practice Address: | 810 Maybank Loop Lady Lake, FL - 321628782 |
Business Phone Number: | 3523502950 |
Business Fax Number: | |
Mailing Address: | 810 Maybank Loop, LADY LAKE |
State: | FL |
Postal Code: | 321628782 |
Phone Number: | 3523502950 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2010 |
NPI Last Update Date: | 07/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | ND222 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |