Individual
DENISE VICTORIA LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 537-6164
Mailing address
1400 W LOMBARD ST # 562, BALTIMORE, MD 21223-3134
(202) 505-3409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
918376
VA
133V00000X
Registered Dietitian
Primary
DX5200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I715417
MEDICARE PTAN
GA
Enumeration date
11/04/2009
Last updated
01/04/2023
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