=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578988234
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALLISON LOYD RD, LDN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2014
-----------------------------------------------------
Last Update Date | 03/04/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 321 MULBERRY STREET, SW
-----------------------------------------------------
City | LENOIR
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28645-1890
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-757-5472
-----------------------------------------------------
Fax | 828-757-5101
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2906 24TH STREET DR NE
-----------------------------------------------------
City | HICKORY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28601-9258
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-855-6508
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | L003446
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------