Basic Information
| Provider Information | |||||||||
| NPI: | 1992028351 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUE | ||||||||
| FirstName: | RANAE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RD, LMNT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7440 S 91ST STREET | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685269797 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023283002 | ||||||||
| FaxNumber: | 4023283612 | ||||||||
| Practice Location | |||||||||
| Address1: | 7440 S 91ST STREET | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685269797 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024896555 | ||||||||
| FaxNumber: | 4023283989 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2010 | ||||||||
| LastUpdateDate: | 03/12/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 762MNT | NE | Y | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | 85007529 | N | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.