Individual
LISA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2130 COUNTY ROAD 309A, IGNACIO, CO 81137-9131
(970) 759-1241
(970) 564-2274
Mailing address
2130 COUNTY ROAD 309A, IGNACIO, CO 81137-9131
(970) 759-1241
(970) 564-2274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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