Luanne Petrie R.D.

NPI 1013971878 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1013971878
Gender Female
Enumeration Date 04/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
300 2ND AVE
SUITE 021
LONG BRANCH NJ, 07740-6303, US
Phone (732) 923-6085
Fax (732) 923-6087
Business Location
100 HWY 36
SUITE 2C
WEST LONG BRANCH NJ, 07764-1453, US
Phone (732) 923-6085
Fax (732) 923-6087
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 610878
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According to our database, Luanne Petrie R.D. NPI is 1013971878, taxonomy code is 133V00000X and license number is 610878, license state is located at Illinois. Luanne Petrie R.D. physically located at 300 2nd Ave, Long Branch NJ, 07740-6303. NPI Number Luanne Petrie R.D. has the Individual type.

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1013971878 NPI number is provided on an as is basis without warranty of any kind. 1013971878 is maintained by the National Plan & Provider Enumeration System. The contents of Luanne Petrie R.D. are for informational purposes only.