Individual
LISA MARIE HERZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1316
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86156828
WI
Other
Enumeration date
01/07/2021
Last updated
11/22/2021
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