Doctor Name: | MRS. MARLA RAE LOVE |
NPI Number: | 1821109422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LRD |
License Number: | |
Business Practice Address: | 400 S Minnesota Street Crookston, MN - 56716 |
Business Phone Number: | 2182819100 |
Business Fax Number: | 2182819189 |
Mailing Address: | Po Box 606, CROOKSTON |
State: | MN |
Postal Code: | 56716 |
Phone Number: | 2182819100 |
Fax Number: | 2182819189 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |