Doctor Name: | LISA EDEN |
NPI Number: | 1538542550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | DN004863 |
Business Practice Address: | 88 Clove Furnace Dr Arden, NY - 10910 |
Business Phone Number: | 6035604907 |
Business Fax Number: | |
Mailing Address: | Po Box 53, ARDEN |
State: | NY |
Postal Code: | 109100053 |
Phone Number: | 6035604907 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2015 |
NPI Last Update Date: | 07/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN004863 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |