Provider Demographics
NPI:1558242248
Name:VERONIE, MICHAEL (RD, LDN)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:VERONIE
Suffix:
Gender:M
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 CELESTE ST
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-8308
Mailing Address - Country:US
Mailing Address - Phone:337-422-1333
Mailing Address - Fax:
Practice Address - Street 1:223 CELESTE ST
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-8308
Practice Address - Country:US
Practice Address - Phone:337-422-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1005660133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered