| Lavanway Nutrition Llc | |
|
2a Constitution Ave, Hampden, ME 04444-1330 | |
| (207) 862-2303 | |
| (207) 862-2303 |
| Full Name | Lavanway Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2a Constitution Ave, Hampden, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356593941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lavanway Nutrition Llc 2a Constitution Ave, Hampden, ME 04444-1330 Ph: (207) 862-2303 | Lavanway Nutrition Llc 2a Constitution Ave, Hampden, ME 04444-1330 Ph: (207) 862-2303 |
Jessica Smallwood, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Hillside Dr, Hampden, ME 04444 Phone: 207-745-7973 | |
Mary Ellen Lavanway, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2a Constitution Ave, Hampden, ME 04444 Phone: 207-862-2303 Fax: 207-862-2303 |