Doctor Name: | LYDIA GRACE TOMPKINS |
NPI Number: | 1154568459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D.N. |
License Number: | DN004027 |
Business Practice Address: | 28 S Main St Montrose, PA - 188011321 |
Business Phone Number: | 5704361275 |
Business Fax Number: | |
Mailing Address: | Rr 1 Box 87, MONTROSE |
State: | PA |
Postal Code: | 188019730 |
Phone Number: | 5702784812 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2009 |
NPI Last Update Date: | 01/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN004027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |