Provider Demographics
NPI:1790036762
Name:RAHN, LONI (MBA, RD, LDN)
Entity type:Individual
Prefix:
First Name:LONI
Middle Name:
Last Name:RAHN
Suffix:
Gender:
Credentials:MBA, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4661 SW 7TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-7401
Mailing Address - Country:US
Mailing Address - Phone:352-844-6360
Mailing Address - Fax:
Practice Address - Street 1:4661 SW 7TH AVENUE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7401
Practice Address - Country:US
Practice Address - Phone:352-844-6360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND10391133V00000X
WI1087828133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered