Individual
LISA O'DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
95 BRADHURST AVE, VALHALLA, NY 10595-1637
(914) 592-7555
Mailing address
95 BRADHURST AVE, VALHALLA, NY 10595-1637
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1088066
NY
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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