Prof Jennifer L Lattur, RDN, CDCES | |
737 Avondale St, Kent, OH 44240-4503 | |
(718) 926-3151 | |
Not Available |
Full Name | Prof Jennifer L Lattur |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 737 Avondale St, Kent, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013630466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86030923 (Ohio) | Primary |
Provider Name | Future Self Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386351021 PECOS PAC ID: 7618345349 Enrollment ID: O20221130000524 |
Mailing Address | Practice Location Address |
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Prof Jennifer L Lattur, RDN, CDCES 737 Avondale St, Kent, OH 44240-4503 Ph: (718) 926-3151 | Prof Jennifer L Lattur, RDN, CDCES 737 Avondale St, Kent, OH 44240-4503 Ph: (718) 926-3151 |
Future Self Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 737 Avondale St, Kent, OH 44240 Phone: 330-227-4330 | |
Ms. Heather R Demming, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Eastway Dr, Kent State University - Deweese Health Center, Kent, OH 44242 Phone: 330-672-8245 Fax: 330-672-3711 | |
Mrs. Patricia Campbell Nitzsche, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Devon Pl, Diabetes Care And Education, Kent, OH 44240 Phone: 330-677-1552 Fax: 330-677-1345 | |
Ms. Natalie Lynn Caine-bish, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Eastway Dr, Ksu Deweese Health Center, Kent, OH 44242 Phone: 330-672-8245 Fax: 330-672-3711 | |
Mrs. Candice Knauer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1225 Theater Drive, Kent, OH 44242 Phone: 330-672-2063 | |
Jessica Jacqueline Yost, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 953 Morris Rd, Kent, OH 44240 Phone: 330-475-5862 |