Provider Demographics
NPI:1760618490
Name:VERANO, LINDSEY (RD, LDN, CDE)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:VERANO
Suffix:
Gender:F
Credentials:RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 E ALLEGHENY AVE STE 140A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-4427
Mailing Address - Country:US
Mailing Address - Phone:215-926-3790
Mailing Address - Fax:215-926-3776
Practice Address - Street 1:2301 E ALLEGHENY AVE STE 140A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:215-926-3790
Practice Address - Fax:215-926-3776
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003943133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered