Organization Name: | PROACTIVE WELLNESS LLC |
NPI Number: | 1912203977 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CASEY RICHMOND LEHNER (PRESIDENT) |
Mailing Address: | 41 Pinkney St Annapolis |
State: | MD US |
Postal Code: | 214011717 |
Phone Number: | 4104402037 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2011 |
NPI Last Update Date: | 09/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DX3548 |
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 |