Individual
SUSAN LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 GRAND ST S, HAMMONTON, NJ 08037-3384
(800) 550-9633
Mailing address
1001 GRAND ST S, HAMMONTON, NJ 08037-3384
(800) 550-9633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
718433
—
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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