Larsen Dwyer, Lenore Elizabeth

Larsen Dwyer, Lenore Elizabeth is an sole proprietor health care provider with primary practice located at 99 Autumn St Suite N, Aliquippa PA 15001-1301. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Larsen Dwyer, Lenore Elizabeth can be contacted via phone (844) 328-9473.

Contact Information

Primary practice address
99 Autumn St Suite N Aliquippa PA 15001-1301
Phone: (844) 328-9473
Fax: (724) 375-2435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DN000793 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN000793 Pennsylvania

Profile Details

NPI number 1811948391
LBN Legal business name Larsen Dwyer, Lenore Elizabeth
Credentials RD LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Dec 2nd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811948391 NPPES
Pennsylvania MEDICAID 001525262

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