MEDICARE: SAMANTHA ZLOTORZYNSKI MA, RDN, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DN008108	PA

General Provider Information

NPI Number	:	1992482145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA ZLOTORZYNSKI MA, RDN, LDN

Provider Business Mailing Address
First Line	:	1 HOSPITAL DR
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9350
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HOSPITAL DR
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9318
Country	:	US
Telephone Number	:	570-522-2067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	06/29/2023

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