Individual
LYDIA DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
895 NORTHBRIDGE LN, COLUMBUS, OH 43235-1749
(614) 312-7993
Mailing address
895 NORTHBRIDGE LN, COLUMBUS, OH 43235-1749
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.10273
OH
Other
Enumeration date
11/07/2023
Last updated
12/18/2024
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