Mallory Morton, RDN, LDN
Individual provider Active NPI Registered Dietitian · Olla, LA
NPI 1376019257 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1376019257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2588 (LA)
- Practice address
- 1102 N Pine Rd
Olla, LA 71465-4804 - Phone
- (318) 495-3131
- Fax
- (318) 495-3229
- NPI assigned
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2588 | LA | Yes |
Addresses
Primary practice location
1102 N Pine Rd
Olla, LA 71465-4804
Mailing address
1809 E Georgia Ave
Ruston, LA 71270-4062
Phone (318) 471-8898
Other providers in Olla, LA
- Lasalle Parish Hospital Service District #1
- Lasalle Parish Hospital Service District #1
- Lasalle Parish Hospital Service District #1
- Linus Carroll Medical Corporation
- Carmela Ann Mathews
- Amanda Bruce Novak
- Kayla Cloud Patten
- Phillip C Rowden
- Sahara Emergency Physicians, LLC
- Ellen Deann Shipp
All providers in Olla, LA · Registered Dietitian in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.