Healthcare Provider Details

I. General information

NPI: 1457374928
Provider Name (Legal Business Name): ANGELINA M. STRATTON RDN, LDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 COOLIDGE BLVD STE 203
LAFAYETTE LA
70503-2637
US

IV. Provider business mailing address

1211 COOLIDGE BLVD STE 203
LAFAYETTE LA
70503-2637
US

V. Phone/Fax

Practice location:
  • Phone: 337-703-6383
  • Fax:
Mailing address:
  • Phone: 337-703-6383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1658
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: