Provider Demographics
NPI:1932197225
Name:KAUPA, LOUANNE P (RD)
Entity Type:Individual
Prefix:
First Name:LOUANNE
Middle Name:P
Last Name:KAUPA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 1/2 N CEDAR AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-2392
Mailing Address - Country:US
Mailing Address - Phone:507-390-0229
Mailing Address - Fax:507-451-3322
Practice Address - Street 1:202 1/2 N CEDAR AVE
Practice Address - Street 2:SUITE C
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-2392
Practice Address - Country:US
Practice Address - Phone:507-390-0229
Practice Address - Fax:507-451-3322
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNN122133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN136634OtherUCARE
MN000000OtherSOUTH COUNTRY HEALTH ALLIANCE
MN759485000OtherMINNESOTA HEALTH CARE PROGRAMS
MN000000OtherMMSI
MN63-50011OtherMEDICA
MN118175OtherHEALTHPARTNERS
MN342G5EAOtherBLUE CROSS BLUE SHIELD
MN342G5EAOtherBLUE CROSS BLUE SHIELD