Doctor Name: | LINDA K. LASHURE |
NPI Number: | 1427179407 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 074-0000051 |
Business Practice Address: | 55 Grand Ave Swanton, VT - 054881451 |
Business Phone Number: | 8028473640 |
Business Fax Number: | |
Mailing Address: | 55 Grand Ave., SWANTON |
State: | VT |
Postal Code: | 054881451 |
Phone Number: | 8028473640 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1004X |
License Number: | 074-0000051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Pediatric |
Taxonomy Definition: |