Individual
LISA ANN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2700 DEKALB AVE, SYCAMORE, IL 60178-3127
(815) 756-6174
(815) 748-3784
Mailing address
2700 DEKALB AVE, SYCAMORE, IL 60178-3127
(815) 756-6174
(815) 748-3784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004217
IL
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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