Provider Demographics
NPI:1003353228
Name:FALICKI, CHRISTINA ANN (MPH, RD, LDN)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:ANN
Last Name:FALICKI
Suffix:
Gender:F
Credentials:MPH, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 ROHRER RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-9744
Mailing Address - Country:US
Mailing Address - Phone:484-686-9031
Mailing Address - Fax:
Practice Address - Street 1:814 ROHRER RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-9744
Practice Address - Country:US
Practice Address - Phone:484-686-9031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006002133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered