| Doctor Name: | MS. LOUISE ELIZABETH INGRAHAM |
| NPI Number: | 1710056841 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | 350 |
| Business Practice Address: | 7 Bia Rte 140 Pine Hill Health Center Pinehill, NM - 873570310 |
| Business Phone Number: | 5057753271 |
| Business Fax Number: | 5057753633 |
| Mailing Address: | Po Box 310, PINEHILL |
| State: | NM |
| Postal Code: | 873570310 |
| Phone Number: | 5057753271 |
| Fax Number: | 5057753633 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 350 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |