Laura Ann Ivy in Shreveport - Dietitian, Registered
Laura Ann Ivy - NPI 1063480366
Laura Ann Ivy is a Dietitian, Registered in Shreveport, Louisiana. Laura Ann Ivy practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Laura Ann Ivy is 1063480366. The last update date is 2007-07-12.
Laura Ann Ivy's current location address is 4111 Pines Rd, Shreveport, Louisiana. You can contact this provider via phone number 3186314109. The mailing address for Laura Ann Ivy is 4111 Pines Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Ann Ivy |
|---|---|
| Address | 4111 Pines Rd, Shreveport, Louisiana |
| Phone Number | 3186314109 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LDN RD |
NPI Number Detail
| NPI Number | 1063480366 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 4111 Pines Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711197315 |
| Phone Number | 3186314109 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 884597 |
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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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What is the Laura Ann Ivy's unique identification number?
The Laura Ann Ivy has been assigned the NPI (National Provider Identifier) Number 1063480366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Laura Ann Ivy located?
The Laura Ann Ivy is located at 4111 Pines Rd, Shreveport, LA 711197315.
What is Laura Ann Ivy's area of expertise and its corresponding taxonomy classification?
The Laura Ann Ivy's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Laura Ann Ivy receive its 1063480366 assignment from the Centers for Medicare & Medicaid Services?
The Laura Ann Ivy was assigned its 1063480366 by the Centers for Medicare & Medicaid Services on 2006-03-10.
As of what date were the Laura Ann Ivy's details last updated?
The information pertaining to the Laura Ann Ivy, including its address, specialty, and other details, was most recently updated on 2007-07-12.
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