Active NPI
Lolita Agnes McLean, R.D. , L.D
- Nutritionist
- Montgomery, AL
National Provider Identifier
1891935334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 722
- Practice address
- 602 S Lawrence St
Montgomery, AL 36104-4787 - Phone
- (334) 293-7133
- Fax
- (334) 293-7374
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 722 | AL | Primary |
Addresses
Primary practice location
602 S Lawrence St
Montgomery, AL 36104-4787
Mailing address
602 S Lawrence St
Montgomery, AL 36104-4787
Phone (334) 293-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 722 | AL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1891935334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 S LAWRENCE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361044787",
"telephone_number": "334-293-7133",
"fax_number": "334-293-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 S LAWRENCE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361044787",
"telephone_number": "334-293-7133",
"fax_number": "334-293-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "LOLITA",
"middle_name": "AGNES",
"credential": "R.D. , L.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "AL",
"license": "722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.