Sarah Udell, MS, RD/LD

Individual provider Active NPI Registered Dietitian · Lake Saint Louis, MO

NPI 1780959296 · NPPES record last updated May 3, 2013

Key facts

NPI
1780959296
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2011034455 (MO)
Practice address
100 Medical PLZ
Suite 1203
Lake Saint Louis, MO 63367-1366
Phone
(636) 625-7733
NPI assigned
Mar 16, 2012
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2011034455MOMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2011034455 MO Yes

Addresses

Primary practice location

100 Medical PLZ
Suite 1203
Lake Saint Louis, MO 63367-1366

Mailing address

100 Medical PLZ
Suite 1203
Lake St Louis, MO 63367-1366
Phone (636) 755-3013

Other providers in Lake Saint Louis, MO

All providers in Lake Saint Louis, MO · Registered Dietitian in Missouri

Sources for this page

Verify at the official NPI Registry.