IndividualActive
Alexis Tellez-Hernandez, RD, LDN
NPI 1790654762 · Registered Dietitian · Lebanon, PA
Provider details
- NPI number
- 1790654762
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN
- Sex
- Male
- Sole proprietor
- No
- License
- 86290984 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1700 S Lincoln Ave
Lebanon, PA 17042-7529
Phone: (717) 272-6621
Approximate (ZIP-level) locationGet directions
Mailing address
1700 S Lincoln Ave
Lebanon, PA 17042-7529
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.