MEDICARE: LORENA AKERMAN MS, RD

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
1	133V00000X	Registered Dietitian	978640	NY

General Provider Information

NPI Number	:	1548562812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORENA AKERMAN MS, RD

Provider Business Mailing Address
First Line	:	7810 RIDGE BLVD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3522
Country	:	US
Telephone Number	:	917-682-0915
Fax Number	:	718-645-0821

Provider Business Practice Location Address
First Line	:	7810 RIDGE BLVD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3522
Country	:	US
Telephone Number	:	917-682-0915
Fax Number	:	718-645-0821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2010
Last Update Date	:	11/18/2010

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