Lavanway Nutrition Llc | |
2a Constitution Ave, Hampden, ME 04444-1330 | |
(207) 862-2303 | |
(207) 862-2303 |
Full Name | Lavanway Nutrition Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 2a Constitution Ave, Hampden, Maine |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356593941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lavanway Nutrition Llc 2a Constitution Ave, Hampden, ME 04444-1330 Ph: (207) 862-2303 | Lavanway Nutrition Llc 2a Constitution Ave, Hampden, ME 04444-1330 Ph: (207) 862-2303 |
Jessica Smallwood, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Hillside Dr, Hampden, ME 04444 Phone: 207-745-7973 | |
Mary Ellen Lavanway, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2a Constitution Ave, Hampden, ME 04444 Phone: 207-862-2303 Fax: 207-862-2303 |