Female

Mrs. Lisa Rudi-davis RDN, LDN

Registered Dietitian in Philadelphia, PA(View on Map)

Full Name

Mrs. Lisa Rudi-davis RDN, LDN

NPI Number

1841615812

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/26/2014

Specialties

(Taxonomies)

Code

133V00000X
133N00000X

Primary Taxonomy

Yes
No

Licenses

State

Pennsylvania

License Number

DN002162

Contact
Information

Purpose

Mailing
Location

Address

1835 S BROAD ST FL 1
1835 S BROAD ST FL 1

City

Philadelphia
Philadelphia

State

PA
PA

Postal Code

19148-2115
19148-2115

Country

US
US

Telephone Number

(215) 834-9463
(215) 834-9463

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

Data last updated by provider on 11/09/2018

Provider Address

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