Provider Demographics
NPI:1811497274
Name:LOMBARDI, DANIELLE F (RD, CDN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:F
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CDN
Mailing Address - Street 1:709 HADDONFIELD BERLIN RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3715
Mailing Address - Country:US
Mailing Address - Phone:856-566-3190
Mailing Address - Fax:
Practice Address - Street 1:2000 SHORE RD STE 104
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-2100
Practice Address - Country:US
Practice Address - Phone:609-904-5627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133V00000X
NJ133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered