Doctor Name: | ELIZABETH STACEY PECK |
NPI Number: | 1497994933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. L.D. |
License Number: | 2804 |
Business Practice Address: | 420 Delaware St Se Mmc 84 Minneapolis, MN - 554550341 |
Business Phone Number: | 6122735756 |
Business Fax Number: | 6122735039 |
Mailing Address: | 420 Delaware St Se, Mmc 84 MINNEAPOLIS |
State: | MN |
Postal Code: | 554550341 |
Phone Number: | 6122735756 |
Fax Number: | 6122735039 |
NPI Enumeration Date: | 02/06/2009 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |