Provider Demographics
NPI:1922008630
Name:GALANG, MARIA LOURDES ASIS (DIETITIAN/NUTRITIONI)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LOURDES ASIS
Last Name:GALANG
Suffix:
Gender:F
Credentials:DIETITIAN/NUTRITIONI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7532 EAGLE POINT DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3481
Mailing Address - Country:US
Mailing Address - Phone:561-715-6315
Mailing Address - Fax:877-861-3656
Practice Address - Street 1:7532 EAGLE POINT DR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3481
Practice Address - Country:US
Practice Address - Phone:561-715-6315
Practice Address - Fax:877-861-3656
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 3113133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered