Modern Medical Nutrition Therapy, LLC
Modern Medical Nutrition Therapy, LLC provides Metabolic Nutrition Registered Dietitian services in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2016.
- Licensed in
- NE
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
530 S 13th St Ste 100Lincoln, NE 68508-2710
Phone: (402) 618-0209
Fax: (402) 905-0321
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Metabolic Nutrition Registered Dietitian (primary) | Taxonomy 133VN1006X · Licence 752 (NE) |
|---|
Record details
| NPI number | 1699217885 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raphael Ovonlen — Ceo · (402) 618-0209 |
| NPI enumerated | November 5, 2016 |
| Last updated in NPPES | November 5, 2016 |
| Mailing address | 6554 S 117th St, Omaha, NE 68137-5726 |