Provider Demographics
NPI:1922774868
Name:LND NUTRITION CONSULTANT
Entity Type:Organization
Organization Name:LND NUTRITION CONSULTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:DINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS RD LD
Authorized Official - Phone:301-509-5363
Mailing Address - Street 1:7635 TALL PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6576
Mailing Address - Country:US
Mailing Address - Phone:301-509-5363
Mailing Address - Fax:443-592-0457
Practice Address - Street 1:7635 TALL PIN OAK DR
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6576
Practice Address - Country:US
Practice Address - Phone:301-509-5363
Practice Address - Fax:443-592-0457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty