Individual
EMILY RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, LDN
Contact information
Practice address
523 HAMILTON RD, LANCASTER, PA 17603-2407
(610) 223-1112
Mailing address
523 HAMILTON RD, LANCASTER, PA 17603-2407
(610) 223-1112
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008106
PA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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