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Organization
LISA'S NUTRITION HUB, LLC.
Active
Organization
LISA'S NUTRITION HUB, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE TESTOLIN MS, RD, LDN (OWNER/REGISTRED DIETITIAN)
(630) 550-0429
Entity
Organization
Contact information
Practice address
132 W LAKE ST, BLOOMINGDALE, IL 60108-1020
(630) 550-0429
Mailing address
327 ERIE CIR, BLOOMINGDALE, IL 60108-8813
(630) 550-0429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
NULL
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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