Gut Glow Llc

LBN: Gut Glow Llc
Gut Glow Llc is an health care organization with primary practice located at 411 Congress St , Portland ME 04101-3505. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Gut Glow Llc can be contacted via phone (650) 248-4863, or through Lawrence, Lynda Flavia via phone (650) 248-4863.

Contact Information

Primary practice address
411 Congress St Portland ME 04101-3505
Phone: (650) 248-4863
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Lynda Flavia RDN, LDN
Phone: (650) 248-4863

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1447026125
LBN Legal business name Gut Glow Llc
DBA Doing business as
Authorized official Lawrence, Lynda Flavia RDN, LDN
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 4th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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