| Lively Nutrition Llc | |
|
903 N Randolph St, Philadelphia, PA 19123-1407 | |
| (310) 867-9700 | |
| Not Available |
| Full Name | Lively Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 903 N Randolph St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073031894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN006064 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lively Nutrition Llc 903 N Randolph St, Philadelphia, PA 19123-1407 Ph: () - | Lively Nutrition Llc 903 N Randolph St, Philadelphia, PA 19123-1407 Ph: (310) 867-9700 |
Nutriwell Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4055 Ridge Ave, 3608, Philadelphia, PA 19129 Phone: 267-760-7778 | |
Ms. Melissa Wadolowski, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2723 Almond St, Philadelphia, PA 19134 Phone: 631-897-3294 | |
Gal Shua-haim, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 350 S 15th St, Philadelphia, PA 19102 Phone: 215-867-9424 | |
Norman Robert Hansen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 861 Glenn St, Philadelphia, PA 19115 Phone: 215-900-0440 | |
Carol Buhrman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
Kaitlin Poillon, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 Cherry St Fl 2, Philadelphia, PA 19102 Phone: 215-553-7012 | |
Ashley Sakenas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1512 South St, Philadelphia, PA 19146 Phone: 215-559-1019 |