| Julanne Marie Luderman, RD, LD | |
|
208 Columbus St, Hicksville, OH 43526-1250 | |
| (419) 542-6692 | |
| Not Available |
| Full Name | Julanne Marie Luderman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 208 Columbus St, Hicksville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033623962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4357 (Ohio) | Primary |
| Provider Name | Mercy Medical Partners Northern Region Specialty Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Julanne Marie Luderman, RD, LD 22998 River Chase Ln, Defiance, OH 43512-6857 Ph: () - | Julanne Marie Luderman, RD, LD 208 Columbus St, Hicksville, OH 43526-1250 Ph: (419) 542-6692 |
Mrs. Michelle L. Price, RD, LD, CDE, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-6692 Fax: 419-542-6506 | |
Ashley Guilford, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-5565 | |
Natallia Lamantia, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-5565 Fax: 419-542-6506 |