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Individual
MS. LIZBETH PAGAN
Active
Individual
MS. LIZBETH PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, CDE
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
48 007790
NY
133NN1002X
Nutrition Education Nutritionist
48 007790
NY
133V00000X
Registered Dietitian
48 007790
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
48 007790
NY
133VN1005X
Renal Nutrition Registered Dietitian
48 007790
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
48 007790
NY
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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