Doctor Name: | LADD HARRIS |
NPI Number: | 1134487648 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.D. |
License Number: | L003966 |
Business Practice Address: | 1020 Gulf Breeze Pkwy Gulf Breeze, FL - 325614838 |
Business Phone Number: | 8509168650 |
Business Fax Number: | |
Mailing Address: | 486 E 9270 S, SANDY |
State: | UT |
Postal Code: | 840706240 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/03/2012 |
NPI Last Update Date: | 05/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L003966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |