| Rd 207, Llc | |
|
6 State St Ste 607, Bangor, ME 04401-5140 | |
| (207) 460-0550 | |
| Not Available |
| Full Name | Rd 207, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 6 State St Ste 607, Bangor, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043830904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rd 207, Llc 301 Wing Rd, Hermon, ME 04401-0418 Ph: (207) 460-0550 | Rd 207, Llc 6 State St Ste 607, Bangor, ME 04401-5140 Ph: (207) 460-0550 |
Lauri Jacobs, RD,CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 905 Union St, Suite 11, Bangor, ME 04401 Phone: 207-973-7334 Fax: 207-973-7424 | |
Mikiko Demura Marzilli, MS LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 905 Union St, Suite 11, Bangor, ME 04401 Phone: 207-973-7364 | |
Mellisa A Bernardini, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6 Telcom Dr, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365 | |
Ms. Emily Mae Lavertu, MS LD Dietitian Medicare: Medicare Enrolled Practice Location: 905 Union St Ste 11, Bangor, ME 04401 Phone: 207-973-4940 | |
Katherine Anne Lachance, TLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 905 Union St, Suite 11, Bangor, ME 04401 Phone: 207-973-7334 Fax: 207-973-7424 | |
Ms. Elaina Hopkins, REGISTERED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 103 Texas Ave, Bangor, ME 04401 Phone: 207-947-4557 |