JEANNINE LISE, RD CD
Dietitian, Registered
Active
Individual
NPI: 1104145093
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | - |
Frequently Asked Questions
NPI 1104145093 is the National Provider Identifier for JEANNINE LISE, RD CD, a Dietitian, Registered provider located in Baraboo, WI. This NPI was enumerated on May 18, 2010.
JEANNINE LISE, RD CD practices at 707 14TH ST, Baraboo, WI 53913.
Quick Facts
- NPI
- 1104145093
- Type
- Individual
- Enumerated
- May 18, 2010
- Last Updated
- May 18, 2010
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