| Doctor Name: | LYDIA P GENOVESE |
| NPI Number: | 1760682959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CD |
| License Number: | 37001065A |
| Business Practice Address: | 1000 S Main St Tipton, IN - 460729753 |
| Business Phone Number: | 7656758500 |
| Business Fax Number: | 7656758257 |
| Mailing Address: | 1001 W 10th St, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462022859 |
| Phone Number: | 3176307258 |
| Fax Number: | 3176302478 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 37001065A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |