Organization
PROACTIVE WELLNESS LLC
Active
Other names
Proactive Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY RICHMOND LEHNER R.D., DTR (PRESIDENT)
(410) 440-2037
Entity
Organization
Contact information
Practice address
41 PINKNEY ST, ANNAPOLIS, MD 21401-1717
(410) 440-2037
Mailing address
41 PINKNEY ST, ANNAPOLIS, MD 21401-1717
(410) 440-2037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3548
MD
Other
Enumeration date
02/08/2011
Last updated
09/29/2013
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