Active NPIIndividual providerSole proprietor

Mary E Lavanway, RD, LD

Dietitian, Registered in Hampden, Maine

NPI Number1992981419
Practice location
2A Constitution Ave, Hampden, ME 04444-1330
Fax
207-862-2303
Last updated
January 15, 2008

Mary Ellen Lavanway is a Dietitian, Registered based in Hampden, ME. Mary Ellen Lavanway practices in Hampden, ME and has the professional credentials of RD, LD. The NPI Number for Mary Ellen Lavanway is 1992981419 and holds a License No. DI877 (ME). The current practice location address for Mary Ellen Lavanway is 2A Constitution Ave, Hampden, ME 04444-1330 and can be reached out via phone at 207-862-2303 and via fax at 207-862-2303.

Provider Profile Details

NPI Number
1992981419
Provider Name
Mary Ellen Lavanway
Credential
RD, LD
Provider Entity Type
Individual
Gender
Female
Address
2A Constitution Ave, Hampden, ME 04444-1330
Phone Number
207-862-2303
Fax Number
207-862-2303
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 15, 2008
Last Update Date
January 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2A Constitution Ave
Hampden, ME 04444-1330
State
Maine
Zip
04444-1330
Phone Number
207-862-2303
Fax Number
207-862-2303
Hampden, ME 04444Get directions →

Provider Business Mailing Address Details

Address
2A Constitution Ave
Hampden, ME 04444-1330
City
Hampden
State
ME
Zip
04444-1330
Phone Number
207-862-2303
Fax Number
207-862-2303

License Information

License Number (1)
DI877
License State (1)
ME
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
3
License State (2)
NH
Taxonomy (2)
Dietitian, Registered · 133V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary E Lavanway, RD, LD?

The NPI number of Mary E Lavanway, RD, LD is 1992981419. It was assigned on January 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Mary E Lavanway, RD, LD?

Mary E Lavanway, RD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI877.

Where does Mary E Lavanway, RD, LD practice?

The practice location is 2A Constitution Ave, Hampden, ME 04444-1330. The office can be reached at 207-862-2303 (phone) or 207-862-2303 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992981419 directly on the NPPES registry website.

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