Doctor Name: | LAURA A WITTLIN |
NPI Number: | 1386977882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD CD |
License Number: | 2207-29 |
Business Practice Address: | W180n8085 Town Hall Rd Menomonee Falls, WI - 530513518 |
Business Phone Number: | 2622573130 |
Business Fax Number: | |
Mailing Address: | W144n7042 Terrace Dr, MENOMONEE FALLS |
State: | WI |
Postal Code: | 530510930 |
Phone Number: | 2628940251 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2009 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2207-29 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |