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Organization
MID ATLANTIC NUTRITION SPECIALISTS, LLC
Active
Organization
MID ATLANTIC NUTRITION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEFEVER RD, LDN (REGISTERED DIETITIAN)
(717) 320-4421
Entity
Organization
Contact information
Practice address
2938 COLUMBIA AVE, UNIT 202, LANCASTER, PA 17603-7000
(717) 320-4421
(717) 618-8376
Mailing address
2938 COLUMBIA AVE, UNIT 202, LANCASTER, PA 17603-7000
(717) 320-4421
(717) 618-8376
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004312
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134459803
INDIVIDUAL NPI
—
Enumeration date
09/04/2014
Last updated
09/04/2014
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