Provider Demographics
NPI:1225748593
Name:LORIMER, EMILY J (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:LORIMER
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 CRESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-2419
Mailing Address - Country:US
Mailing Address - Phone:267-979-0891
Mailing Address - Fax:
Practice Address - Street 1:306 CRESTWOOD AVE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-2419
Practice Address - Country:US
Practice Address - Phone:267-979-0891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN007610133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADN007610OtherSTATE LICENSURE
PA86197898OtherCOMMISSION ON DIETETIC REGISTRATION