Doctor Name: | MRS. LORI GOESCHEL |
NPI Number: | 1811353634 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, IBCLC, CDN |
License Number: | 860645 |
Business Practice Address: | 374 Grand Ave New Haven, CT - 065133733 |
Business Phone Number: | 2037777411 |
Business Fax Number: | 2034012044 |
Mailing Address: | 21 Monticello Dr, EAST LYME |
State: | CT |
Postal Code: | 063331228 |
Phone Number: | 8602356177 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2016 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 860645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |