# MR. BRAD LANKFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053035980
- **Gender:** Man
- **Credential:** RDN, LDN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | DN007328 | PA | — |
| 133V00000X | Registered Dietitian | DN007328 | PA | Yes |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | DN007328 | PA | — |
| 133VN1101X | Gerontological Nutrition Registered Dietitian | DN007328 | PA | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | DN007328 | PA | — |

## Other

- **Enumeration date:** 10/04/2022
- **Last updated:** 10/04/2022