Provider Demographics
NPI:1538676432
Name:CHAN, LOKHEI (RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:LOKHEI
Middle Name:
Last Name:CHAN
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 UNION ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1227
Mailing Address - Country:US
Mailing Address - Phone:347-368-6581
Mailing Address - Fax:
Practice Address - Street 1:8268 164TH STREET
Practice Address - Street 2:FOOD AND NUTRITION DEPARTMENT
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1143
Practice Address - Country:US
Practice Address - Phone:718-883-3841
Practice Address - Fax:718-883-3841
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006471133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY006471OtherCERTIFIED DIETETICS-NUTRITION