Provider Demographics
NPI:1700431806
Name:LORAN, JOCELYNE (RD, LDN, CDCES)
Entity Type:Individual
Prefix:
First Name:JOCELYNE
Middle Name:
Last Name:LORAN
Suffix:
Gender:F
Credentials:RD, LDN, CDCES
Other - Prefix:
Other - First Name:JOCELYNE
Other - Middle Name:
Other - Last Name:BARBOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN, CDCES
Mailing Address - Street 1:6111 HUNT WEBER DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2667
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 GARRETT AVE
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-5960
Practice Address - Country:US
Practice Address - Phone:301-609-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered