Individual
LISA LYNN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
201 PARK BLVD, ROGERSVILLE, TN 37857-2919
(423) 272-7641
(423) 921-8073
Mailing address
332 LAKEMONT DR, MOORESBURG, TN 37811-2506
(423) 272-2924
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
703723
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
703723
AMERICAN DIETETIC ASSOCIA
TN
Enumeration date
01/19/2007
Last updated
07/08/2007
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