Doctor Name: | JULIE AMBER LOVISA |
NPI Number: | 1366433971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CD |
License Number: | 37001507A |
Business Practice Address: | 6913 N Main St Granger, IN - 465309601 |
Business Phone Number: | 5746476400 |
Business Fax Number: | |
Mailing Address: | 3355 Douglas Rd, Ste. 300 SOUTH BEND |
State: | IN |
Postal Code: | 466351781 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 03/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37001507A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |