Individual
LORRAINE ANN KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
244 5TH AVE STE K254, NEW YORK, NY 10001-7604
(917) 770-5124
Mailing address
244 5TH AVE STE K254, NEW YORK, NY 10001-7604
(917) 770-5124
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
86016370
NY
133V00000X
Registered Dietitian
Primary
86016370
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
86016370
NY
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
86016370
NY
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
86016370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821517475
—
NY
01
—
1982219671
NUTRITIONIST
NY
05
—
1982219671
—
NY
Enumeration date
09/14/2017
Last updated
11/14/2023
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