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Individual
LISA ANN SMITH
Active
Individual
LISA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RDN, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01367
IA
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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