Individual
LEA CHRISTY LOVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N, C.D.N.
Contact information
Practice address
890 PROSPECT AVE, BRONX, NY 10459-3978
(718) 991-0605
(347) 498-2751
Mailing address
890 PROSPECT AVE, BRONX, NY 10459-3978
(718) 991-0605
(347) 498-2751
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
008515
NY
133V00000X
Registered Dietitian
Primary
008515
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
008515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008515
C.D.N.
NY
01
—
86015995
R.D.N
—
Enumeration date
11/18/2015
Last updated
11/18/2015
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