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Organization
LWELL LLC
Active
Organization
LWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE FORNSHELL (MANAGER)
(757) 585-3441
Entity
Organization
Contact information
Practice address
1309 JAMESTOWN RD STE 102, WILLIAMSBURG, VA 23185-3380
(757) 585-3441
Mailing address
1309 JAMESTOWN RD STE 102, WILLIAMSBURG, VA 23185-3380
(757) 585-3441
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
985772
VA
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
03/17/2016
Last updated
11/23/2020
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