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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JANE DOUGHERTY-LAKE, RD

Active Sole Proprietor

JANE DOUGHERTY-LAKE, RD is a Registered Dietitian healthcare provider located in TUBA CITY, Arizona. NPI 1720110885 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · TUBA CITY, AZ

Registration Details

NPI Number
1720110885
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2007 (19.237189528887 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
167 NORTH MAIN STREET
TUBA CITY, AZ, 86045
Browse AZ providers · Browse ZIP 86045
Phone
9282832497
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in TUBA CITY, AZ

Name Credential NPI
MR. ABDUL-AZIZ I BACO LRD 1154362309
RONALD J DOVZAK RD 1457371353
DEIRDRA G SCARBOROUGH RD 1366462269
MS. SHANNON MONIQUE LEE RD 1730450529
MARILYN DIANE SMITH RD 1285045138
MISS THEODORA RUDD RDN 1548665227
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.