Individual
LISA RENEE WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 BOGGS LN, RICHMOND, KY 40475-2522
(859) 626-4502
(859) 623-5910
Mailing address
PO BOX 1208, RICHMOND, KY 40476-1208
(859) 626-4502
(859) 623-5910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0834
KY
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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