Provider Demographics
NPI:1558896571
Name:VANLUVANEE, ABIGAIL (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:VANLUVANEE
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL MEDICAL CENTER
Mailing Address - Street 2:100 BREWSTER BLVD
Mailing Address - City:CAMP LEJEUNE
Mailing Address - State:NC
Mailing Address - Zip Code:28547
Mailing Address - Country:US
Mailing Address - Phone:910-440-0170
Mailing Address - Fax:
Practice Address - Street 1:1425 S GLENBURNIE RD
Practice Address - Street 2:SUITE 7
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2626
Practice Address - Country:US
Practice Address - Phone:252-631-5222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005134133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered