Organization
WELLNESS AND SPORTS DIETETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LO RD (REGISTERED DIETITIAN)
(240) 994-9493
Entity
Organization
Contact information
Practice address
4445 CORPORATION LN STE 213, VIRGINIA BEACH, VA 23462-3262
(757) 559-1549
(757) 257-0792
Mailing address
1329 LAKESIDE RD, VIRGINIA BEACH, VA 23455-4107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
02/25/2026
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