Provider Demographics
NPI:1780868109
Name:DUNCAN, LORI CHRISTINE (RD)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:CHRISTINE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08029-0233
Mailing Address - Country:US
Mailing Address - Phone:856-302-3148
Mailing Address - Fax:
Practice Address - Street 1:770 MARNE HWY
Practice Address - Street 2:NUTREK, LLC SUITE F
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3081
Practice Address - Country:US
Practice Address - Phone:856-302-3148
Practice Address - Fax:888-371-2083
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ933348133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered