Diabetes Fundamentals LLC

NPI #1568147874 in Zelienople, Pennsylvania

Provider Information

NPI Number: 1568147874
Entity Type: Organization
Organization Name: Diabetes Fundamentals LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Jun 15, 2023
Last Updated: Jun 19, 2024

Practice Location

Address: 405 HAZEL ST
City: Zelienople
State: Pennsylvania
ZIP Code: 16063-1016
Phone: (724) 900-9075

Authorized Official

Name: LACEY FUNAIR, MS,RDN,CDCES,BC-ADM
Title: OWNER
Phone: (724) 900-9075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Health Educator	174H00000X
Dietitian, Registered	133V00000X	Primary

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