Organization
FOOD IS MEDICINE RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE M HATCH MS RD (BUSINESS OWNER)
(860) 280-6297
Entity
Organization
Contact information
Practice address
667 S 22ND AVE, BRIGHTON, CO 80601-3459
(860) 280-6297
(172) 024-7923
Mailing address
667 S 22ND AVE, BRIGHTON, CO 80601-3459
(860) 280-6297
(172) 024-7923
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
859029
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
859029
ACADEMY OF NUTRITION AND DIETETICS
—
Enumeration date
05/09/2016
Last updated
06/16/2016
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