Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER LYNN DORMAN, R.D.
Active Sole ProprietorPediatric Nutrition · AVON LAKE, OH
Registration Details
- NPI Number
- 1023388063
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2012 (14.297494553918 yrs)
- Last Updated
- Jan 9, 2012
- License
-
5661 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
167 BELMAR BOULEVARDAVON LAKE, OH, 44012Browse OH providers · Browse ZIP 44012
- Phone
- 4409330242
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.