Organization Name: | SUSAN L. DELAGRANGE |
NPI Number: | 1619209152 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN LYNN DELAGRANGE (REGISTERED DIETITIAN) |
Mailing Address: | 2607 Barry Knoll Way Fort Wayne |
State: | IN US |
Postal Code: | 468451942 |
Phone Number: | 2604333367 |
Fax Number: | 2606375780 |
NPI Enumeration Date: | 02/09/2010 |
NPI Last Update Date: | 03/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 910521 |
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 |