Individual
LISA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITION THERAPIST
Contact information
Practice address
1417 GREGG ST, SUITE1, COLUMBIA, SC 29201-3527
(888) 238-4078
Mailing address
3225 GROVESHIRE DR, RALEIGH, NC 27616-8391
(888) 238-4078
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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