| Organization Name: | MID ATLANTIC NUTRITION SPECIALISTS, LLC |
| NPI Number: | 1841690237 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE LEFEVER (REGISTERED DIETITIAN) |
| Mailing Address: | 2938 Columbia Ave Unit 202 Lancaster |
| State: | PA US |
| Postal Code: | 176037000 |
| Phone Number: | 7173204421 |
| Fax Number: | 7176188376 |
| NPI Enumeration Date: | 09/04/2014 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DN004312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |