Provider Demographics
NPI:1619244951
Name:LOWDEN DONAHUE, DEBORAH C (RD)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:C
Last Name:LOWDEN DONAHUE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 HERRONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2928
Mailing Address - Country:US
Mailing Address - Phone:609-240-3243
Mailing Address - Fax:609-497-4573
Practice Address - Street 1:283 HERRONTOWN RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2928
Practice Address - Country:US
Practice Address - Phone:609-240-3243
Practice Address - Fax:609-497-4573
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00608569133N00000X, 133V00000X, 133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ00608569OtherCOMMISSION ON DIETETIC REGISTRATION/AMERICAN DIETETIC ASSOCIATION