Individual
LORI COSMILLO HERKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
98 JAMES ST STE 103, EDISON, NJ 08820-3902
(732) 204-6088
Mailing address
45 DERWENT AVE, VERONA, NJ 07044-2132
(201) 953-0465
(973) 890-9050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
839198
NJ
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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