Individual
CATALINA MARIA LAVERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, CD
Contact information
Practice address
5165 MCCARTY LANE, LAFAYETTE, IN 47905
(765) 448-8000
Mailing address
53421 OAKTON DR, SOUTH BEND, IN 46635-2103
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00996086
IN
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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