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Individual

MRS. LISA RUTH COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., LDN

Contact information

Practice address
1915 WHITE AVE, THOMPSON CANCER SURVIVAL CENTER, KNOXVILLE, TN 37916-2300
(865) 541-2036
Mailing address
5416 CRESTWOOD RD, KNOXVILLE, TN 37918-3401
(865) 689-9060

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
754
TN

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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