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Organization

MAIN LINE NUTRITION AND FITNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN M GEORGE MS RD LDN (REGISTERED DIETITAN NUTRITIONIST)
(610) 513-0525
Entity
Organization

Contact information

Practice address
215 SUGARTOWN RD, WAYNE, PA 19087-3137
(610) 513-0525
Mailing address
176 GRUBB RD, MALVERN, PA 19355-3504
(610) 513-0525

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/17/2023
Last updated
04/17/2023
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