| Doctor Name: | DIANE A VIZTHUM |
| NPI Number: | 1144500208 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | DX3229 |
| Business Practice Address: | 600 N Wolfe St Nutrition Clinic, Halsted 153 Baltimore, MD - 212871900 |
| Business Phone Number: | 4109556716 |
| Business Fax Number: | |
| Mailing Address: | 2360 W Joppa Road, Ste 210 LUTHERVILLE |
| State: | MD |
| Postal Code: | 21093 |
| Phone Number: | 4106143372 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2011 |
| NPI Last Update Date: | 09/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DX3229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| 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 |