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Individual

LISA MARIE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-7932
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-7932

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L002560N
NC
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
L002560
NC

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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