Basic Information
| Provider Information | |||||||||
| NPI: | 1548924723 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOPEZ | ||||||||
| FirstName: | ALAINA | ||||||||
| MiddleName: | |||||||||
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| Credential: | RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7690 DISCOVERY DR UNIT 1600 | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450696559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134758840 | ||||||||
| FaxNumber: | 5138744579 | ||||||||
| Practice Location | |||||||||
| Address1: | 222 PIEDMONT AVE STE 5400 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452194241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5134758091 | ||||||||
| FaxNumber: | 5134757348 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2021 | ||||||||
| LastUpdateDate: | 10/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | LD6877 | OH | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.