Provider Demographics
NPI:1871834986
Name:LACHNER, DIANE S (MS, RD, CDN, CLC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:S
Last Name:LACHNER
Suffix:
Gender:F
Credentials:MS, RD, CDN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HILLCREST AVE # WE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-2771
Mailing Address - Country:US
Mailing Address - Phone:716-499-0742
Mailing Address - Fax:
Practice Address - Street 1:1 HILLCREST AVE # WE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-2771
Practice Address - Country:US
Practice Address - Phone:716-499-0742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001328133V00000X
PADN002419133V00000X
174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered