Individual
LISA STEWART MINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1925 W. MOUNTAIN VIEW AVE, LONGMONT, CO 80501
(720) 494-3119
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 485-4198
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
717690
CA
133V00000X
Registered Dietitian
Primary
717690
CO
Other
Enumeration date
03/31/2011
Last updated
02/14/2020
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