| Jane Dougherty-lake, RD | |
|
167 North Main Street, Tuba City, AZ 86045 | |
| (928) 283-2497 | |
| Not Available |
| Full Name | Jane Dougherty-lake |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 167 North Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720110885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Dougherty-lake, RD Po Box 1260, Tuba City, AZ 86045-1260 Ph: (928) 283-2497 | Jane Dougherty-lake, RD 167 North Main Street, Tuba City, AZ 86045 Ph: (928) 283-2497 |
Mr. Abdul-aziz I Baco, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Marilyn Diane Smith, RD Dietitian Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Deirdra G Scarborough, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Ronald J Dovzak, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Miss Theodora Rudd, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2895 | |
Jana Franchini, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 866-976-5941 |