Provider Demographics
NPI:1508611294
Name:LTG HEALTH
Entity Type:Organization
Organization Name:LTG HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRISI-GORRA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:201-252-7632
Mailing Address - Street 1:664 NAVAHO TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2836
Mailing Address - Country:US
Mailing Address - Phone:201-306-3183
Mailing Address - Fax:
Practice Address - Street 1:664 NAVAHO TRAIL DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2836
Practice Address - Country:US
Practice Address - Phone:201-252-7632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty