Doctor Name: | MS. SUSAN LEE MORVICH |
NPI Number: | 1932274263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LD BS BA |
License Number: | |
Business Practice Address: | 2401 W Main Street Rm 113 Nhcu Veterans Administration Medical Center Marion, IL - 62959 |
Business Phone Number: | 6189975311 |
Business Fax Number: | 6189985671 |
Mailing Address: | 12327 Rend City Road, BENTON |
State: | IL |
Postal Code: | 62812 |
Phone Number: | 6189275079 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |