1427200336 NPI number — MRS. LAURI MCHUGH COFFEY MS,RD

Table of content: MRS. LAURI MCHUGH COFFEY MS,RD (NPI 1427200336)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427200336 NPI number — MRS. LAURI MCHUGH COFFEY MS,RD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COFFEY
Provider First Name:
LAURI
Provider Middle Name:
MCHUGH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS,RD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427200336
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1700 SOUTH LINCOLN AVE.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEBANON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-272-6621
Provider Business Mailing Address Fax Number:
717-228-6031

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1700 S LINCOLN AVE
Provider Second Line Business Practice Location Address:
FOOD AND NUTRITION SERVICES 132
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17042-7529
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-272-6621
Provider Business Practice Location Address Fax Number:
717-228-6031
Provider Enumeration Date:
10/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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