Doctor Name: | MRS. LAURIE A MALYAR |
NPI Number: | 1689632465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 0000000898 |
Business Practice Address: | James H. Quillen Vamc Nutrition And Food Services 120 Mountain Home, TN - 37684 |
Business Phone Number: | 4239261171 |
Business Fax Number: | 4239793402 |
Mailing Address: | 4096 Greenwood Dr, JONESBOROUGH |
State: | TN |
Postal Code: | 376596251 |
Phone Number: | 4237535854 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 0000000898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |