Provider Demographics
NPI:1679217467
Name:ALO NUTRITION LLC
Entity Type:Organization
Organization Name:ALO NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:314-308-9115
Mailing Address - Street 1:13100 MANCHESTER RD STE 175
Mailing Address - Street 2:
Mailing Address - City:DES PERES
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1729
Mailing Address - Country:US
Mailing Address - Phone:314-308-9115
Mailing Address - Fax:
Practice Address - Street 1:13100 MANCHESTER RD STE 175
Practice Address - Street 2:
Practice Address - City:DES PERES
Practice Address - State:MO
Practice Address - Zip Code:63131-1729
Practice Address - Country:US
Practice Address - Phone:314-308-9115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty