| Organization Name: | DEPARTMENT OF VETERANS AFFAIRS |
| NPI Number: | 1730274887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE SMITH (CLINICAL DIETITIAN) |
| Mailing Address: | 1500 East Woodrow Wilson Drive Jackson |
| State: | MS US |
| Postal Code: | 392165199 |
| Phone Number: | 6013624471 |
| Fax Number: | 6013684483 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 08/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | R422643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |