Louise Elizabeth Ingraham, R.D.

Individual provider Active NPI Nutrition Education Nutritionist · Lewiston, ME

NPI 1710056841 · NPPES record last updated Sep 20, 2016

Key facts

NPI
1710056841
Entity type
Individual (NPI type 1)
Primary specialty
Nutrition Education Nutritionist 133NN1002X
License
DI1198 (ME)
Practice address
10 High St
Suite 305
Lewiston, ME 04240-7653
Phone
(207) 330-7769
Fax
(207) 795-5688
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DI1198MEMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramah Navajo School Board, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DI1198 ME Yes

Addresses

Primary practice location

10 High St
Suite 305
Lewiston, ME 04240-7653

Mailing address

10 High St
Suite 305
Lewiston, ME 04240-7653
Phone (207) 330-7769

Other providers in Lewiston, ME

All providers in Lewiston, ME · Nutrition Education Nutritionist in Maine

Sources for this page

Verify at the official NPI Registry.