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Individual

LISA ANN ECKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
676 KIMMELS RD, ORWIGSBURG, PA 17961-2016
(570) 573-3178
Mailing address
676 KIMMELS RD, ORWIGSBURG, PA 17961-2016
(570) 573-3178

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
806621
PA
133V00000X
Registered Dietitian
Primary
806621
PA

Other

Enumeration date
02/28/2022
Last updated
02/28/2022
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