National Provider Identifier
Julie Lisabeth Willard, RD, CDN
Julie Lisabeth Willard, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 862-1620.
Profile Overview
- NPI
- 1457402745
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- January 15, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2648
Phone: (716) 862-1620
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1457402745
- Entity Type
- Individual
- Last Name
- Willard
- First Name
- Julie
- Middle Name
- Lisabeth
- Name Prefix
- Mrs.
- Credential
- RD, CDN
- Provider Other Last Name
- Howland
- Provider Other First Name
- Julie
- Provider Other Middle Name
- Lisabeth
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 2157 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2648
- Mailing Country
- US
- Mailing Phone
- (716) 862-1620
- Mailing Fax
- (716) 862-1846
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2648
- Practice Country
- US
- Practice Phone
- (716) 862-1620
- Practice Fax
- (716) 862-1846
- Enumeration Date
- January 15, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)