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

ANGELA LYNN THOMASON, RD

Active

ANGELA LYNN THOMASON, RD is a Pediatric Nutrition healthcare provider located in BELLEVILLE, Illinois. NPI 1760660823 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nutrition · BELLEVILLE, IL

Registration Details

NPI Number
1760660823
Provider Type
Individual
Gender
Female
NPI Issued
Jan 31, 2008 (18.35162386133 yrs)
Last Updated
Nov 10, 2009
License
164.003677 (IL)

Practice Information

Address
405 POLK ST
BELLEVILLE, IL, 622202441
Browse IL providers · Browse ZIP 62220
Phone
6182390553
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.