Provider Demographics
NPI:1073812848
Name:MORGAN, SHIRLEY ELIZABETH (MS,RD)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:ELIZABETH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS,RD
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Mailing Address - Street 1:13353 W ALAMEDA PKWY
Mailing Address - Street 2:#106
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3458
Mailing Address - Country:US
Mailing Address - Phone:303-989-1369
Mailing Address - Fax:720-274-5483
Practice Address - Street 1:13353 W ALAMEDA PKWY
Practice Address - Street 2:#106
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-3458
Practice Address - Country:US
Practice Address - Phone:303-989-1369
Practice Address - Fax:720-274-5483
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-19
Last Update Date:2011-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL00720845133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered