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Individual
DENISE VICTORIA LUNDY
Active
Individual
DENISE VICTORIA LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
918376
VA
133V00000X
Registered Dietitian
Primary
DX5200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I715417
MEDICARE PTAN
GA
Enumeration date
11/04/2009
Last updated
01/04/2023
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