NPI 1700840600

Maryanne Kyburz-Ladue, RD

Practitioner Registered Dietetic Technician Burlington, VT

Practice location

Address: 789 Pine St, Burlington, VT 05401-4933
Phone: (802) 864-0693
Fax: (802) 860-6613
Mailing address: 600 Blair Park Rd Suite 190, Williston, VT 05495-7586

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 074-0000127 (VT)

Other Dietetic Technician, Registered providers in Vermont →

Registry record

NPI: 1700840600
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2006
Record last updated: 6 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.