Provider Demographics
NPI:1881471738
Name:RESCUERD LLC
Entity type:Organization
Organization Name:RESCUERD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, CSCS
Authorized Official - Phone:410-802-4324
Mailing Address - Street 1:323 SILKY OAK CT
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2720
Mailing Address - Country:US
Mailing Address - Phone:410-802-4324
Mailing Address - Fax:
Practice Address - Street 1:323 SILKY OAK CT
Practice Address - Street 2:
Practice Address - City:LINTHICUM HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:21090-2720
Practice Address - Country:US
Practice Address - Phone:410-802-4324
Practice Address - Fax:443-335-9129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports DieteticsGroup - Multi-Specialty