Doctor Name: | LORI J RICO |
NPI Number: | 1235441650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,CDE |
License Number: | 993389 |
Business Practice Address: | 483 W Seed Farm Rd Sacaton, AZ - 85147 |
Business Phone Number: | 6025281200 |
Business Fax Number: | 6022717870 |
Mailing Address: | P.o. Box 38, SACATON |
State: | AZ |
Postal Code: | 851470001 |
Phone Number: | 6025281200 |
Fax Number: | 6022717870 |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 993389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |