Individual
MS. AMY ELIZABETH LYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1107 E PALMER ST, PHILADELPHIA, PA 19125-4220
(732) 822-0451
(609) 581-7726
Mailing address
1107 E PALMER ST, PHILADELPHIA, PA 19125-4220
(732) 822-0451
(609) 228-5450
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
953465
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155560
—
NJ
Enumeration date
03/27/2009
Last updated
01/07/2019
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