Healthcare Provider Details

I. General information

NPI: 1447623533
Provider Name (Legal Business Name): NORA M. LANNING RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2015
Last Update Date: 11/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9823 LAKE AVE APT. # 206
CLEVELAND OH
44102-6310
US

IV. Provider business mailing address

9823 LAKE AVE APT. # 206
CLEVELAND OH
44102-6310
US

V. Phone/Fax

Practice location:
  • Phone: 216-401-5229
  • Fax: 216-844-4944
Mailing address:
  • Phone: 216-401-5229
  • Fax: 216-844-4944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberSV417984
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberSV417984
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberSV417984
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: