NPI 1366917940

Lydia C Wickenhoefer, RDLD

Practitioner Registered Dietitian Beaufort, SC

Practice location

Address: 955 Ribaut Rd, Beaufort, SC 29902-5441
Phone: (843) 522-5085

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1406 (SC)

Other Dietitian, Registered providers in South Carolina →

Registry record

NPI: 1366917940
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2018
Record last updated: 10 Oct 2018

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.