Individual
LAUREN ANN WALEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
127 N 21ST ST APT 3R, PHILADELPHIA, PA 19103-1406
(570) 780-0069
Mailing address
127 N 21ST ST APT 3R, PHILADELPHIA, PA 19103-1406
(570) 780-0069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86025611
PA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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