NPI 1073031894

Lively Nutrition LLC

Organisation Registered Dietitian Philadelphia, PA

Practice location

Address: 903 N Randolph St, Philadelphia, PA 19123-1407
Phone: (310) 867-9700

Authorised official

Name: Liv Lee
Title: Owner
Phone: (310) 867-9700

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DN006064 (PA)

Other Dietitian, Registered providers in Pennsylvania →

Registry record

NPI: 1073031894
Entity type: Organization
NPI issued: 31 Aug 2017
Record last updated: 27 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.