Eden, Lisa M

Eden, Lisa M is an sole proprietor health care provider with primary practice located at 633 Route 211 E Ste 2 , Middletown NY 10941-1781. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Eden, Lisa M can be contacted via phone (603) 560-4907.

Contact Information

Primary practice address
633 Route 211 E Ste 2 Middletown NY 10941-1781
Phone: (603) 560-4907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN004863 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 007631 New York

Profile Details

NPI number 1538542550
LBN Legal business name Eden, Lisa M
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2015
Last updated Jan 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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