Individual
LISA B MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2818 NEUSE BLVD, NEW BERN, NC 28562-2850
(252) 636-4920
Mailing address
2818 NEUSE BLVD, NEW BERN, NC 28562-2850
(252) 636-4920
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L003570
NORTH CAROLINA STATE BOARD
—
Enumeration date
09/28/2010
Last updated
09/28/2010
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