Jane Dougherty-Lake in Tuba City - Dietitian, Registered
Jane Dougherty-Lake - NPI 1720110885
Jane Dougherty-Lake is a Dietitian, Registered in Tuba City, Arizona. Jane Dougherty-Lake practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jane Dougherty-Lake is 1720110885. The last update date is 2007-07-08.
Jane Dougherty-Lake's current location address is Po Box 1260, Tuba City, Arizona. You can contact this provider via phone number 9282832497. The mailing address for Jane Dougherty-Lake is Po Box 1260, Tuba City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane Dougherty-Lake |
|---|---|
| Address | Po Box 1260, Tuba City, Arizona |
| Phone Number | 9282832497 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1720110885 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1260 |
|---|---|
| City | Tuba City |
| State | Arizona (AZ) |
| Post Code | 860451260 |
| Phone Number | 9282832497 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Post Comment/ Review Below
What is the Jane Dougherty-Lake's 1720110885?
The Jane Dougherty-Lake's NPI (National Provider Identifier) Number is 1720110885. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jane Dougherty-Lake is physically located?
The Jane Dougherty-Lake is situated at the following address: Po Box 1260, Tuba City, AZ 860451260.
What is the Jane Dougherty-Lake's area of specialization and corresponding taxonomy classification?
The Jane Dougherty-Lake's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
When did the Jane Dougherty-Lake receive its 1720110885?
The Jane Dougherty-Lake was issued its 1720110885 on 2007-03-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jane Dougherty-Lake last refreshed?
The information related to the Jane Dougherty-Lake, including its address, specialty, and other relevant details, was last updated on 2007-07-08.