Individual
LISA EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
505 FOREST RD, WAYNE, PA 19087-2321
(610) 329-8952
Mailing address
505 FOREST RD, WAYNE, PA 19087-2321
(610) 329-8952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003199
PA
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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