Provider Demographics
NPI:1548228539
Name:LANDSTUHL REGIONAL MEDICAL CENTER
Entity type:Organization
Organization Name:LANDSTUHL REGIONAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:637-486-7657
Mailing Address - Street 1:CMR 402 BOX 1999
Mailing Address - Street 2:
Mailing Address - City:LANDSTUHL
Mailing Address - State:GERMANY
Mailing Address - Zip Code:09180
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CMR 402 BOX 1999
Practice Address - Street 2:
Practice Address - City:LANDSTUHL
Practice Address - State:GERMANY
Practice Address - Zip Code:09180
Practice Address - Country:DE
Practice Address - Phone:0637-186-7657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT05838286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital