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Organization

AT THE TABLE NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA WILLIAMS RD (OWNER, REGISTERED DIETIAN)
(610) 615-1055
Entity
Organization

Contact information

Practice address
237 W LANCASTER AVE STE 253, DEVON, PA 19333-1592
(610) 615-1055
(610) 598-6017
Mailing address
857 COLONY RD, BRYN MAWR, PA 19010-1103
(516) 241-7928

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
01/23/2026
Last updated
03/11/2026
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