# USAFA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USAFA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417745431
- **Authorized official:** GALINA LODGE MS, RD (FOOTBALL DIETITIAN)
- **Authorized official phone:** (719) 333-2416

## Contact information

- **Practice address:** 2168 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
- **Practice address phone:** (412) 862-6521
- **Mailing address:** 2168 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
- **Mailing address phone:** (412) 862-6521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1501X | Sports Dietetics Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1501X | Sports Dietetics Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2025
- **Last updated:** 05/14/2025