| Lori Chan, RDN | |
|
20220 36th Ave, Bayside, NY 11361-1158 | |
| (917) 513-0588 | |
| Not Available |
| Full Name | Lori Chan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 20220 36th Ave, Bayside, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255033742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86210199 (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Chan, RDN 20220 36th Ave, Bayside, NY 11361-1158 Ph: Not Available | Lori Chan, RDN 20220 36th Ave, Bayside, NY 11361-1158 Ph: (917) 513-0588 |
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