Mary Trahan Lively, LDN, RD is a
Dietitian, Registered based in Delhi, Louisiana. Mary Trahan Lively is licensed to practice in Louisiana (license number 858) and her current practice location is
365 Highway 609, Delhi, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 878-6760.
NPI number for Mary Trahan Lively is 1952396871 and her current mailing address is 309 Jackson St, Monroe, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952396871.
Healthcare Provider's Profile
Full Name | Mary Trahan Lively |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 365 Highway 609, Delhi, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952396871
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary Trahan Lively such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952396871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 858 (Louisiana) | 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. Mary Trahan 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 |
Mary Trahan Lively, LDN, RD 309 Jackson St, Monroe, LA 71201-7407 Ph: (318) 327-4973 | Mary Trahan Lively, LDN, RD 365 Highway 609, Delhi, LA 71232-6563 Ph: (318) 878-6760 |
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