Provider Demographics
NPI:1831780279
Name:LUYBLI, MEGAN (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:LUYBLI
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 FURNACE ST
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1309
Mailing Address - Country:US
Mailing Address - Phone:610-297-5192
Mailing Address - Fax:
Practice Address - Street 1:65 E ELIZABETH AVE STE 117
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6506
Practice Address - Country:US
Practice Address - Phone:484-519-0096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered