Provider Demographics
NPI:1437464062
Name:LIVING BETTER NUTRITION
Entity Type:Organization
Organization Name:LIVING BETTER NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:KOLOMIEC
Authorized Official - Last Name:BIRON
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CD
Authorized Official - Phone:802-253-9586
Mailing Address - Street 1:574 W SHAW HILL RD
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:VT
Mailing Address - Zip Code:05672-4612
Mailing Address - Country:US
Mailing Address - Phone:802-253-9586
Mailing Address - Fax:802-253-6808
Practice Address - Street 1:996 S MAIN ST
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-5195
Practice Address - Country:US
Practice Address - Phone:802-253-9586
Practice Address - Fax:802-253-6808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty