Provider Demographics
NPI:1124374087
Name:DRUMMOND, ROBIN JORDAN (LDN, RD)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:JORDAN
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:LDN, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15481 CLUB DELUXE ROAD
Mailing Address - Street 2:S. TANGIPAHOA PARISH HEALTH UNIT
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1466
Mailing Address - Country:US
Mailing Address - Phone:985-543-4165
Mailing Address - Fax:985-543-4171
Practice Address - Street 1:15481 W CLUB DELUXE RD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1466
Practice Address - Country:US
Practice Address - Phone:985-543-4165
Practice Address - Fax:985-543-4171
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA290133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered