Rudi-Davis, Lisa

Rudi-Davis, Lisa is an sole proprietor health care provider with primary practice located at 1835 S Broad St Fl 1 , Philadelphia PA 19148-2115. 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. Rudi-Davis, Lisa can be contacted via phone (215) 834-9463.

Contact Information

Primary practice address
1835 S Broad St Fl 1 Philadelphia PA 19148-2115
Phone: (215) 834-9463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DN002162 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN002162 Pennsylvania

Profile Details

NPI number 1841615812
LBN Legal business name Rudi-Davis, Lisa
Credentials RDN, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2014
Last updated Nov 9th, 2018 - about 7 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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