Julanne Marie Luderman, RD, LD | |
208 Columbus St, Hicksville, OH 43526-1250 | |
(419) 542-6692 | |
Not Available |
Full Name | Julanne Marie Luderman |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 208 Columbus St, Hicksville, Ohio |
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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1033623962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 4357 (Ohio) | Primary |
Provider Name | Mercy Medical Partners Northern Region Specialty Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
Mailing Address | Practice Location Address |
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Julanne Marie Luderman, RD, LD 22998 River Chase Ln, Defiance, OH 43512-6857 Ph: () - | Julanne Marie Luderman, RD, LD 208 Columbus St, Hicksville, OH 43526-1250 Ph: (419) 542-6692 |
Mrs. Michelle L. Price, RD, LD, CDE, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-6692 Fax: 419-542-6506 | |
Ashley Guilford, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-5565 | |
Natallia Lamantia, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-5565 Fax: 419-542-6506 |