Organization Name: | LIGHTTRACK HEALTH SYSTEMS, LLC |
NPI Number: | 1437510880 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACI GULBIN (REGISTERED DIETITIAN-NUTRITIONIST) |
Mailing Address: | 1433 S Main Chapel Way Unit B115 Gambrills |
State: | MD US |
Postal Code: | 210541873 |
Phone Number: | 4434146505 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2016 |
NPI Last Update Date: | 03/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DX3327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |