| Mary Ellen Lavanway, RD, LD | |
|
2a Constitution Ave, Hampden, ME 04444-1330 | |
| (207) 862-2303 | |
| (207) 862-2303 |
| Full Name | Mary Ellen Lavanway |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2a Constitution Ave, Hampden, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992981419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI877 (Maine) | Primary |
| 133V00000X | Dietitian, Registered | 3 (New Hampshire) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Lavanway, RD, LD 2a Constitution Ave, Hampden, ME 04444-1330 Ph: (207) 862-2303 | Mary Ellen Lavanway, RD, LD 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 | |
Lavanway Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2a Constitution Ave, Hampden, ME 04444 Phone: 207-862-2303 Fax: 207-862-2303 |