Provider Demographics
NPI:1306427711
Name:STROUP, SARAH N (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:N
Last Name:STROUP
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:LONEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1213 WEST MOREHEAD STREET
Mailing Address - Street 2:5TH FLOOR #61
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5576
Mailing Address - Country:US
Mailing Address - Phone:980-819-1332
Mailing Address - Fax:
Practice Address - Street 1:1213 WEST MOREHEAD STREET
Practice Address - Street 2:5TH FLOOR #61
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208
Practice Address - Country:US
Practice Address - Phone:980-819-1332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2600133V00000X
NCL006191133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered