Individual
MS. LYDIA CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
10007 ACORN LN, FORT WAYNE, IN 46835-9318
(317) 900-0309
Mailing address
987 HADDON AVE, COLLINGSWOOD, NJ 08108-2048
(856) 617-1012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37003404A
IN
133V00000X
Registered Dietitian
Primary
86176626
NJ
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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