Doctor Name: | MS. DEVORA M. LATTIMORE |
NPI Number: | 1962627083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MNT |
License Number: | 875788 |
Business Practice Address: | 1 Hurley Plz Flint, MI - 485035902 |
Business Phone Number: | 8102629317 |
Business Fax Number: | |
Mailing Address: | 1 Hurley Plz, 5th Floor S.o.n. FLINT |
State: | MI |
Postal Code: | 485035902 |
Phone Number: | 8102629317 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 02/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 875788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |