Organization · Type 2 NPI
Modern Medical Nutrition Therapy, LLC
Metabolic Nutrition Registered Dietitian · Lincoln, NE
NPI number
1699217885
Active
Practice location
530 S 13th St, Ste 100
Lincoln, NE 68508-2710
Fax (402) 905-0321
Mailing address
6554 S 117th St
Omaha, NE 68137-5726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Metabolic Nutrition Registered Dietitian Primary | 133VN1006X | 752 (NE) |
Metabolic Nutrition Registered Dietitian: A registered dietitian who achieves specialized competency in metabolic nutrition.
About NPI 1699217885
Modern Medical Nutrition Therapy, LLC's National Provider Identifier is 1699217885, issued on Nov 5, 2016. The primary taxonomy on file is Metabolic Nutrition Registered Dietitian (133VN1006X), and the practice location is in Lincoln, NE. The record was last updated on Nov 5, 2016.