| Amanda R Larrea, RD | |
|
10855 Virginia St, Crown Point, IN 46307-0210 | |
| (219) 407-5500 | |
| Not Available |
| Full Name | Amanda R Larrea |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 10855 Virginia St, Crown Point, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952024952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164-009042 (Illinois) | Primary |
| 133V00000X | Dietitian, Registered | 37004442A (Indiana) | Secondary |
| Provider Name | Dupage Medical Group Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031105000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda R Larrea, RD 10855 Virginia St, Crown Point, IN 46307-0210 Ph: (219) 407-5500 | Amanda R Larrea, RD 10855 Virginia St, Crown Point, IN 46307-0210 Ph: (219) 407-5500 |
Mrs. Kelly Strazzante, RD, PA-C Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10855 Virginia St, Crown Point, IN 46307 Phone: 219-407-5500 | |
Nicole Elizabeth Brown, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 255 Michele Ave, Crown Point, IN 46307 Phone: 219-781-3523 | |
Patricia Ramirez, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1275 E North St, Crown Point, IN 46307 Phone: 219-663-2793 | |
Nutriquity Nwi Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6430 West 86th Avenue, Crown Point, IN 46307 Phone: 708-902-4522 | |
Mrs. Ellen M Mckay, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9330 Broadway, Crown Point, IN 46307 Phone: 219-662-0001 Fax: 219-662-5188 | |
Rebecca Klingbeil, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7854 E 122nd Pl, Crown Point, IN 46307 Phone: 219-242-1404 | |
Rachel Grace Newman, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10855 Virginia St, Crown Point, IN 46307 Phone: 219-407-5500 |