Individual
MRS. LISA ANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1414 KUHL AVE, ORLANDO, FL 32806-2008
(407) 872-0229
(407) 872-0443
Mailing address
1414 KUHL AVE, ORLANDO, FL 32806-2008
(407) 872-0229
(407) 872-0443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5577
FL
Other
Enumeration date
12/26/2006
Last updated
11/27/2012
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