Individual
LISA M EDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
633 ROUTE 211 E STE 2, MIDDLETOWN, NY 10941-1781
(603) 560-4907
Mailing address
PO BOX 53, ARDEN, NY 10910-0053
(603) 560-4907
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007631
NY
133V00000X
Registered Dietitian
DN004863
PA
133V00000X
Registered Dietitian
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Other
Enumeration date
07/08/2015
Last updated
01/29/2023
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