Provider Demographics
NPI:1871554063
Name:QUIGLEY, MARJORIE E (RD)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:E
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:M
Other - Middle Name:ELIZABETH
Other - Last Name:LAMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:74380 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2609
Mailing Address - Country:US
Mailing Address - Phone:760-773-1796
Mailing Address - Fax:760-779-8046
Practice Address - Street 1:74380 BUTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2609
Practice Address - Country:US
Practice Address - Phone:760-773-1796
Practice Address - Fax:760-779-8046
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ06309ZMedicare PIN