Doctor Name: | ELIZABETH ORTMAN LAMANCUSA |
NPI Number: | 1730412859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | DO2204 |
Business Practice Address: | 18109 Prince Philip Dr Suite 325 Olney, MD - 208321519 |
Business Phone Number: | 3017748727 |
Business Fax Number: | 3017748728 |
Mailing Address: | 18109 Prince Philip Dr, Suite 325 OLNEY |
State: | MD |
Postal Code: | 208321519 |
Phone Number: | 3017748727 |
Fax Number: | 3017748728 |
NPI Enumeration Date: | 09/08/2009 |
NPI Last Update Date: | 09/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DO2204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |