Provider Demographics
NPI:1962770354
Name:HAGUE, ANNE LENORE (PHD, MS, RD, LD, RDH)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LENORE
Last Name:HAGUE
Suffix:
Gender:F
Credentials:PHD, MS, RD, LD, RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 GREEN MEADOWS DR S
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-9458
Mailing Address - Country:US
Mailing Address - Phone:614-985-6569
Mailing Address - Fax:614-985-6568
Practice Address - Street 1:171 GREEN MEADOWS DR S
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9458
Practice Address - Country:US
Practice Address - Phone:614-985-6569
Practice Address - Fax:614-985-6568
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6751133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered