Individual
MISS LUA J WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 647-3547
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 647-3547
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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