Organization
AMY LORRAINE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CAMENISCH MS, RDN, LD (OWNER)
(859) 221-5067
Entity
Organization
Contact information
Practice address
2620 WILHITE DR, LEXINGTON, KY 40503-3385
(859) 278-6031
(859) 277-7015
Mailing address
607 N BROADWAY, LEXINGTON, KY 40508-1435
(859) 221-5067
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
121479
KY
Other
Enumeration date
11/17/2017
Last updated
01/10/2018
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