NPI 1376142802

Brandon O'Brien

Practitioner Registered Dietetic Technician Lebanon, OH

Practice location

Address: 1425 Columbus Ave, Lebanon, OH 45036-8258
Phone: (513) 228-7340
Mailing address: 9997 Carver Rd, Blue Ash, OH 45242-5537

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86089674 (OH)

Other Dietetic Technician, Registered providers in Ohio →

Registry record

NPI: 1376142802
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2020
Record last updated: 26 Oct 2020

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.