Individual
LISA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3322 W END AVE, 11TH FLOOR, NASHVILLE, TN 37203-1031
(615) 515-9880
(615) 515-9891
Mailing address
1100 BROAD AVE, SUITE 600, GULFPORT, MS 39501
(228) 284-1634
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0668
MS
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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