Provider Demographics
NPI:1760871370
Name:LOCHMANN, HEATHER M (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:LOCHMANN
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2853 CUMMINS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-8507
Mailing Address - Country:US
Mailing Address - Phone:618-402-1292
Mailing Address - Fax:
Practice Address - Street 1:2853 CUMMINS FERRY RD
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-8507
Practice Address - Country:US
Practice Address - Phone:618-402-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-20
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5020-29133V00000X
MO2011032840133V00000X
IN37003434A133V00000X
KY174057133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered