Individual
ALEXIS TELLEZ-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86290984
PA
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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