Provider Demographics
NPI:1033720081
Name:LOPEMAN, ALLISON KAY (RD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:KAY
Last Name:LOPEMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:KAY
Other - Last Name:LORENCEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3120 MCCAIN RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-2506
Mailing Address - Country:US
Mailing Address - Phone:517-745-1262
Mailing Address - Fax:
Practice Address - Street 1:3120 MCCAIN RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-2506
Practice Address - Country:US
Practice Address - Phone:517-745-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered