| Medical Nutrition Therapists, Llc | |
|
510 N Harrison St, Trenton, IL 62293-1070 | |
| (618) 401-7675 | |
| Not Available |
| Full Name | Medical Nutrition Therapists, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 510 N Harrison St, Trenton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023202827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Nutrition Therapists, Llc 510 N Harrison St, Trenton, IL 62293-1070 Ph: (618) 401-7675 | Medical Nutrition Therapists, Llc 510 N Harrison St, Trenton, IL 62293-1070 Ph: (618) 401-7675 |
Quality Nutrition Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 N Harrison St, Trenton, IL 62293 Phone: 618-401-7675 Fax: 618-224-2815 | |
Lisa Rae Haselhorst, R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 N Harrison St, Trenton, IL 62293 Phone: 618-224-9309 Fax: 618-224-2815 |