Individual
SAMANTHA LUPICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2406 GEORGIAN LN, BROOMALL, PA 19008-2510
(610) 662-5732
Mailing address
2406 GEORGIAN LN, BROOMALL, PA 19008-2510
(610) 662-5732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1092067
PA
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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