Organization
LISA S. EICHENBAUM, MS,RS,LD/N,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA S EICHENBAUM MS,RD,LD/N (PRESIDENT)
(305) 445-4959
Entity
Organization
Contact information
Practice address
58 MIRACLE MILE, CORAL GABLES, FL 33134-5404
(305) 445-4959
(305) 443-6116
Mailing address
58 MIRACLE MILE, CORAL GABLES, FL 33134-5404
(305) 445-4959
(305) 443-6116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 1266
FL
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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