Individual
LYDIA P. GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
12964 W FOSSIL DR, PEORIA, AZ 85383-5176
(317) 694-3986
(765) 675-8257
Mailing address
12964 W FOSSIL DR, PEORIA, AZ 85383-5176
(317) 694-3986
(317) 630-2478
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37001065A
IN
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
11/14/2019
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