Individual
MRS. LAURA MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD, LDN
Contact information
Practice address
1512 SOUTH ST, PHILADELPHIA, PA 19146-1636
(267) 239-5637
Mailing address
1424 KENILWORTH ST, PHILADELPHIA, PA 19146-2208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1046690
PA
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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