Individual
LIZA ORENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, CSR
Contact information
Practice address
1330 WALDORF BLVD APT 202, MADISON, WI 53719-4495
(704) 608-6613
(833) 679-0805
Mailing address
PO BOX 45782, MADISON, WI 53744-5782
(608) 284-8642
(833) 679-0805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3359-29
WI
133V00000X
Registered Dietitian
DI60127442
WA
Other
Enumeration date
01/14/2012
Last updated
07/09/2019
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