MEDICARE: MRS. DEBORAH MOTSINGER ROSENQUIST RD LDN

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	L000115	NC

General Provider Information

NPI Number	:	1780633321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH MOTSINGER ROSENQUIST RD LDN

Provider Business Mailing Address
First Line	:	1701 WESTCHESTER DR
Second Line	:	SUITE 850
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7008
Country	:	US
Telephone Number	:	336-802-2536
Fax Number	:	336-802-2534

Provider Business Practice Location Address
First Line	:	1208 EASTCHESTER DR
Second Line	:	SUITE 107
City	:	HIGH POINT
State	:	NC
Zip	:	27265-3170
Country	:	US
Telephone Number	:	336-802-2588
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	01/27/2016

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