Individual
MEGAN LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
15000 MIDLANTIC DR STE 101, MOUNT LAUREL, NJ 08054
(856) 380-2760
Mailing address
15000 MIDLANTIC DR STE 101, MOUNT LAUREL, NJ 08054-1573
(856) 380-2760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86064418
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-3704728
THE RENFREW CENTER
NJ
Enumeration date
08/30/2016
Last updated
08/27/2018
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