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Individual
LISA HUGHES ROTH
Active
Individual
LISA HUGHES ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND4772
FL
133V00000X
Registered Dietitian
Primary
ND4772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125531700
—
FL
Enumeration date
09/19/2017
Last updated
02/28/2025
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