Gregory Lafortune, MS, RDN | |
947 Salisbury Trl, Riverdale, GA 30296-1549 | |
(404) 509-1195 | |
Not Available |
Full Name | Gregory Lafortune |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 947 Salisbury Trl, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730849381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86090190 (Georgia) | Primary |
Provider Name | Optimal Plan Nutrition, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902566557 PECOS PAC ID: 6406202100 Enrollment ID: O20231101002569 |
Mailing Address | Practice Location Address |
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Gregory Lafortune, MS, RDN 947 Salisbury Trl, Riverdale, GA 30296-1549 Ph: (404) 509-1195 | Gregory Lafortune, MS, RDN 947 Salisbury Trl, Riverdale, GA 30296-1549 Ph: (404) 509-1195 |
Miss Emilie Ann Roman, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 275 Upper Riverdale Rd Sw Ste B, Riverdale, GA 30274 Phone: 419-806-6728 | |
Kayellen Umeakunne, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2759 Feldspar Way, Riverdale, GA 30296 Phone: 470-258-0494 | |
Love Nutrition 4 Life, Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 313 Brookview Drive, Riverdale, GA 30274 Phone: 404-441-8853 | |
Beverly Ann Washington, M.ED.,RDN, CDE, CCP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7562 Sugarcreek Dr, Riverdale, GA 30296 Phone: 678-908-3319 |