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NPI Code Detail

MEDICARE: CHRYSTAL MEGINLEY MS, RD, LDN

MEDICARE: CHRYSTAL MEGINLEY MS, RD, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian2507LA

General Provider Information

NPI Number : 1023858602
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRYSTAL MEGINLEY MS, RD, LDN
Provider Business Mailing Address
First Line : 2231 ELLIOTT ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-5323
Country : US
Telephone Number : 318-452-5252
Fax Number :
Provider Business Practice Location Address
First Line : 2231 ELLIOTT ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-5323
Country : US
Telephone Number : 318-452-5252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2024
Last Update Date : 05/30/2024

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