Provider Demographics
NPI:1740919786
Name:CRANE, JULIE ANN (RD,LD,CDCES)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:CRANE
Suffix:
Gender:F
Credentials:RD,LD,CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 UNIVERSITY AVE STE 501
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-5849
Mailing Address - Country:US
Mailing Address - Phone:806-725-5215
Mailing Address - Fax:
Practice Address - Street 1:6501 UNIVERSITY AVE STE 501
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-5849
Practice Address - Country:US
Practice Address - Phone:806-725-5215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT05676133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered