Doctor Name: | MRS. LUCIA ISAC MITCHELL |
NPI Number: | 1902108137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | D1100000386 |
Business Practice Address: | 700 Fettler Park Dumfries Health Center Dumfries, VA - 22025 |
Business Phone Number: | 7034417500 |
Business Fax Number: | 2022697484 |
Mailing Address: | 3700 Fettler Park, Dumfries Health Center DUMFRIES |
State: | VA |
Postal Code: | 22025 |
Phone Number: | 7034417500 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2010 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D1100000386 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
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 |