Provider Demographics
NPI:1477180073
Name:COTE, MORGAN LORRAINE (RD, LD)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LORRAINE
Last Name:COTE
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4540 SNELLING AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-4411
Mailing Address - Country:US
Mailing Address - Phone:701-580-0051
Mailing Address - Fax:
Practice Address - Street 1:1900 WEBBER ST
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-3407
Practice Address - Country:US
Practice Address - Phone:651-326-1825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4310133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered