Provider Demographics
NPI:1235572900
Name:CERNIAUSKAS, BARBARA (LDN, RD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:CERNIAUSKAS
Suffix:
Gender:F
Credentials:LDN, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 HIGH LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-4342
Mailing Address - Country:US
Mailing Address - Phone:225-931-7178
Mailing Address - Fax:225-342-8312
Practice Address - Street 1:628 N 4TH ST # 4
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-5342
Practice Address - Country:US
Practice Address - Phone:225-342-8903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1588133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist