| Reactive Nutrition, Llc | |
|
4540 Ambassador Caffery Pkwy, C240, Lafayette, LA 70508-6928 | |
| (337) 255-8557 | |
| (337) 504-2421 |
| Full Name | Reactive Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4540 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285864025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2156 (Louisiana) | Primary |
| Provider Name | Lanah Brennan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548473994 PECOS PAC ID: 8921187428 Enrollment ID: I20090716000557 |
| Mailing Address | Practice Location Address |
|---|---|
| Reactive Nutrition, Llc 117 Emily Cir, Lafayette, LA 70508-6755 Ph: (337) 255-8557 | Reactive Nutrition, Llc 4540 Ambassador Caffery Pkwy, C240, Lafayette, LA 70508-6928 Ph: (337) 255-8557 |
Alicia Ruddock Rourk, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6113 Fax: 337-261-6660 | |
Miss Carmen Alexis Miller, MS, RDN, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508 Phone: 337-470-7870 | |
Desiree Kern, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 213 Rue Fontaine, Lafayette, LA 70508 Phone: 337-269-9777 | |
C Taylor Nutrition Therapy Dietitian Medicare: Medicare Enrolled Practice Location: 211 Bon Mange Cir, Lafayette, LA 70506 Phone: 337-739-9456 | |
Mrs. Jessica Person Eckert, MPH, LDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 209 Marquette Dr, Lafayette, LA 70503 Phone: 337-296-2640 | |
Mrs. Shellie Johnson Dore, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6113 Fax: 337-261-6660 | |
Mrs. Amy Staggs, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 W Farrel Rd Ste 101, Lafayette, LA 70508 Phone: 337-534-1740 Fax: 337-534-0376 |