Individual
MRS. LISA M. BRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSR, CDN
Contact information
Practice address
300 DELAWARE AVE, SUITE 100, BUFFALO, NY 14202-1807
(716) 903-3730
Mailing address
4490 SENECA ST, WEST SENECA, NY 14224-3139
(716) 677-0102
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
005925-1
NY
Other
Enumeration date
04/15/2008
Last updated
05/13/2008
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