Charlotte Lorraine Lively, RD is a
Dietitian, Registered based in Mt Pleasant, Texas. Charlotte Lorraine Lively is licensed to practice in South Carolina (license number 806373) and her current practice location is
2000 N Jefferson Ave, Mt Pleasant, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 577-6198.
NPI number for Charlotte Lorraine Lively is 1114041290 and her current mailing address is 2000 N Jefferson Ave, Mt Pleasant, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114041290.
Healthcare Provider's Profile
Full Name | Charlotte Lorraine Lively |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2000 N Jefferson Ave, Mt Pleasant, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114041290
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 01/08/2014
Medical Identifiers
Medical identifiers for Charlotte Lorraine Lively such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114041290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 806373 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlotte Lorraine Lively is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charlotte Lorraine Lively, RD 2000 N Jefferson Ave, Mt Pleasant, TX 75455-2337 Ph: (903) 577-6198 | Charlotte Lorraine Lively, RD 2000 N Jefferson Ave, Mt Pleasant, TX 75455-2337 Ph: (903) 577-6198 |
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