Organization
MID ATLANTIC NUTRITION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEFEVER RD, LDN (REGISTERED DIETITIAN)
(717) 320-4421
Entity
Organization
Contact information
Practice address
2938 COLUMBIA AVE, UNIT 202, LANCASTER, PA 17603-7000
(717) 320-4421
(717) 618-8376
Mailing address
2938 COLUMBIA AVE, UNIT 202, LANCASTER, PA 17603-7000
(717) 320-4421
(717) 618-8376
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004312
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134459803
INDIVIDUAL NPI
—
Enumeration date
09/04/2014
Last updated
09/04/2014
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