| Ms Lori Trentacosti, REGISTERED DIETICIAN | |
|
2601 W Main St, Carbondale, IL 62901-1031 | |
| (618) 549-5361 | |
| (618) 549-5128 |
| Full Name | Ms Lori Trentacosti |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2601 W Main St, Carbondale, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508913427 | NPI | - | NPPES |
| 203887 | Other | IL | LEGACY |
| 7210895 | Other | IL | AETNA |
| 078833 | Other | IL | HEALTH ALLIANCE |
| 3932056 | Other | IL | BCBS OF IL |
| 710000734 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164-000649 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lori Trentacosti, REGISTERED DIETICIAN Po Box 1105, Indianapolis, IN 46206-1105 Ph: (618) 549-5361 | Ms Lori Trentacosti, REGISTERED DIETICIAN 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Samantha Zimmerman, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1385 E Main St, Carbondale, IL 62901 Phone: 618-457-5200 | |
Southern Illinois Nutrition Specialties Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-942-7300 | |
Debra Renee Queen, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9961 | |
Mrs. Stephanie Victoria Wood, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |