Provider Demographics
NPI:1376591370
Name:ZANGMEISTER, JUDY MORSCHER (RD, LD, CDE)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:MORSCHER
Last Name:ZANGMEISTER
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FAMILY MEDICINE CENTER, INC.
Mailing Address - Street 2:11709 LORAIN AVE.
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111
Mailing Address - Country:US
Mailing Address - Phone:216-671-5006
Mailing Address - Fax:216-671-5004
Practice Address - Street 1:FAMILY MEDICINE CENTER, INC.
Practice Address - Street 2:11709 LORAIN RD.
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111
Practice Address - Country:US
Practice Address - Phone:216-671-5006
Practice Address - Fax:216-671-5004
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH187133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHZAMT0021Medicare ID - Type Unspecified