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Organization

NOURISHED BY ELAINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELAINE MARIE LOZANO MS RDN (REGISTERED DIETITIAN NUTRITIONIST)
(571) 242-3591
Entity
Organization

Contact information

Practice address
8731 GREELEY BOULEVARD, SPRINGFIELD, VA 22152-3017
(571) 242-3591
Mailing address
8731 GREELEY BOULEVARD, SPRINGFIELD, VA 22152-3017
(571) 242-3591

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian

Other

Enumeration date
09/30/2020
Last updated
09/30/2020
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