MEDICARE: JENRY R SCHORLING LDN, 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	1596	LA

General Provider Information

NPI Number	:	1780713669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENRY R SCHORLING LDN, RD

Provider Business Mailing Address
First Line	:	6078 LAUREL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5726
Country	:	US
Telephone Number	:	504-895-9441
Fax Number	:	504-895-1813

Provider Business Practice Location Address
First Line	:	112 RIVER OAKS DR
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70068-7100
Country	:	US
Telephone Number	:	985-651-2342
Fax Number	:

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/08/2007

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