Provider Demographics
NPI:1548132426
Name:OWCZARZAK, DORI LYNN (MS, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:DORI
Middle Name:LYNN
Last Name:OWCZARZAK
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1274 SNEE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3445
Mailing Address - Country:US
Mailing Address - Phone:724-433-2733
Mailing Address - Fax:
Practice Address - Street 1:1789 S BRADDOCK AVE STE 410
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1881
Practice Address - Country:US
Practice Address - Phone:412-247-2310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000416133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered