Individual
KATHERINE LUSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, LDN, MS
Contact information
Practice address
4730 BRADLEY BLVD APT 304, CHEVY CHASE, MD 20815-6333
(301) 785-8175
Mailing address
4730 BRADLEY BLVD APT 304, CHEVY CHASE, MD 20815-6333
(301) 785-8175
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX5449
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18207
CERTIFIED NUTRITION SPECIALIST
—
01
—
DX5449
LICENSED DIETITIAN NUTRITIONIST
MD
Enumeration date
03/15/2022
Last updated
06/17/2024
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