Individual
LAUREN M PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(215) 628-4454
(302) 651-2757
Mailing address
725 SKIPPACK PIKE STE 300, BLUE BELL, PA 19422-1749
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN-0000539
DE
Other
Enumeration date
01/06/2014
Last updated
02/20/2018
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