Doctor Name: | MRS. LORI A BAGNELL |
NPI Number: | 1134267206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,LD |
License Number: | DT05893 |
Business Practice Address: | 201 Walls Dr Cleburne, TX - 760334007 |
Business Phone Number: | 8175564267 |
Business Fax Number: | |
Mailing Address: | 12444 Seven Eagles Ln, BURLESON |
State: | TX |
Postal Code: | 760287554 |
Phone Number: | 8175515501 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT05893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |