Individual
MRS. LISA MARIE WERNER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
2104 N 30TH ST STE B, TACOMA, WA 98403-3341
(253) 279-6771
(253) 383-3615
Mailing address
727 N C ST, TACOMA, WA 98403-2812
(253) 279-6771
(253) 383-3615
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 00000736
WA
Other
Enumeration date
02/24/2010
Last updated
03/02/2021
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