Individual
LOREDANA LICCHI CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1850 TOWN CENTER PKWY, SUITE 412, RESTON, VA 20190-3219
(703) 689-9108
Mailing address
47705 ALLEGHENY CIR, POTOMAC FALLS, VA 20165-4705
(703) 989-0418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
896697
ACADEMY OF NUTRITION AND DIETETICS MEMBER NUMBER
—
Enumeration date
08/07/2013
Last updated
08/07/2013
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