Individual
LISA HEIDER BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2744 E FORT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-3447
(734) 330-1101
Mailing address
2744 E FORT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-3447
(734) 330-1101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
04/15/2026
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