Individual
MS. LENORE ELIZABETH LARSEN DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
99 AUTUMN ST, SUITE N, ALIQUIPPA, PA 15001-1301
(844) 328-9473
(724) 375-2435
Mailing address
99 AUTUMN ST, SUITE N, ALIQUIPPA, PA 15001-1301
(844) 328-9473
(724) 375-2435
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN000793
PA
133V00000X
Registered Dietitian
Primary
DN000793
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001525262
—
PA
Enumeration date
05/12/2006
Last updated
12/02/2014
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