Doctor Name: | MRS. MIRTA WLODINGUER LORENZO |
NPI Number: | 1285756585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. L.D. |
License Number: | LD001583 |
Business Practice Address: | 3155 Royal Dr # 125 Alpharetta, GA - 300222430 |
Business Phone Number: | 4043321820 |
Business Fax Number: | |
Mailing Address: | 960 E Paces Ferry Rd Ne Apt 233, ATLANTA |
State: | GA |
Postal Code: | 303262847 |
Phone Number: | 4043321820 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD001583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |