Individual
JENNIFER LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(215) 590-2449
(000) 000-0000
Mailing address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(215) 590-2449
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
985020
PA
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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