Provider Demographics
NPI:1659094449
Name:JOFFE, LYLA B (RDN)
Entity Type:Individual
Prefix:
First Name:LYLA
Middle Name:B
Last Name:JOFFE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 TROPICAL DR # 1
Mailing Address - Street 2:
Mailing Address - City:OCEAN RIDGE
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7026
Mailing Address - Country:US
Mailing Address - Phone:818-720-4436
Mailing Address - Fax:
Practice Address - Street 1:11 TROPICAL DR # 1
Practice Address - Street 2:
Practice Address - City:OCEAN RIDGE
Practice Address - State:FL
Practice Address - Zip Code:33435-7026
Practice Address - Country:US
Practice Address - Phone:818-720-4436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered