Individual
ELIZABETH ORTMAN LAMANCUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
18109 PRINCE PHILIP DR, SUITE 325, OLNEY, MD 20832-1519
(301) 774-8727
(301) 774-8728
Mailing address
18109 PRINCE PHILIP DR, SUITE 325, OLNEY, MD 20832-1519
(301) 774-8727
(301) 774-8728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DO2204
MD
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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