Healthcare Provider Details

I. General information

NPI: 1851468847
Provider Name (Legal Business Name): LORRI B. KATZ RD, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 CENTRAL AVE SUITE 112
NEW PROVIDENCE NJ
07974-1547
US

IV. Provider business mailing address

12 JENKS RD
MORRISTOWN NJ
07960-6703
US

V. Phone/Fax

Practice location:
  • Phone: 973-984-0662
  • Fax:
Mailing address:
  • Phone: 973-984-0662
  • Fax: 973-540-1958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: