Provider Demographics
NPI:1205989878
Name:MORRISON, ELLEN LACHOWICZ (MS, RD, LDN)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:LACHOWICZ
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4917 WATERS EDGE DR
Mailing Address - Street 2:220-7
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-2459
Mailing Address - Country:US
Mailing Address - Phone:919-656-3448
Mailing Address - Fax:919-851-5155
Practice Address - Street 1:4917 WATERS EDGE DR
Practice Address - Street 2:220-7
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-2459
Practice Address - Country:US
Practice Address - Phone:919-656-3448
Practice Address - Fax:919-851-5155
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001534133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered