Individual
LYDIA GRACE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
1444 N PLANK RD, MONTROSE, PA 18801-8482
(570) 436-1275
Mailing address
1444 N PLANK RD, MONTROSE, PA 18801-8482
(570) 278-4812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004027
PA
Other
Enumeration date
01/08/2009
Last updated
05/28/2025
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