| Jenna Lodebole, RDN | |
|
292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | |
| (203) 276-7213 | |
| Not Available |
| Full Name | Jenna Lodebole |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 292 Long Ridge Rd Ste 206, Stamford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730797903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Stamford Health Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154633980 PECOS PAC ID: 6901099746 Enrollment ID: O20101025000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Lodebole, RDN 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 Ph: (203) 276-7213 | Jenna Lodebole, RDN 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 Ph: (203) 276-7213 |
Valerie Michelle Becker, MS, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 666 Glenbrook Rd, Stamford, CT 06906 Phone: 203-429-4211 | |
Jane Wynne, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 680 E Main St Ste A883, Stamford, CT 06901 Phone: 203-978-3558 | |
Alexandra Pereira, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 666 Glenbrook Rd Ste 1c, Stamford, CT 06906 Phone: 203-885-4368 | |
Denise E Groothuis, Dietitian Medicare: Medicare Enrolled Practice Location: 141 Franklin St, Stamford, CT 06901 Phone: 203-969-0802 | |
Stamford Center For Integrative Medicine Pllc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 High Ridge Rd, 2nd Floor, Stamford, CT 06905 Phone: 929-379-0920 Fax: 929-379-0925 | |
Mr. Anthony Richard Pacchioni, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Glenbrook Rd, Apt # 215, Stamford, CT 06902 Phone: 570-237-1756 | |
Samantha Kelly Balkaran, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 292 Long Ridge Rd Ste 206, Stamford, CT 06902 Phone: 203-276-4378 Fax: 203-276-4975 |