Female

Christine J. Luby

Nutritionist in Philadelphia, PA(View on Map)

Full Name

Christine Jessica Luby

NPI Number

1699374413

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/22/2020

Specialties

(Taxonomies)

Code

133N00000X
133NN1002X

Primary Taxonomy

Yes
No

Licenses

State

Pennsylvania

License Number

DN005840

Contact
Information

Purpose

Mailing
Location

Address

2450 W HUNTING PARK AVE FL 2
7500 CENTRAL AVE STE 104

City

Philadelphia
Philadelphia

State

PA
PA

Postal Code

19129-1302
19111-2431

Country

US
US

Telephone Number

(215) 926-9019
(215) 742-0712

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/22/2020

Provider Address

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