Organization
LISA WOODRUFF NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WOODRUFF RDN (REGISTERED DIETITIAN & OWNER)
(515) 290-4541
Entity
Organization
Contact information
Practice address
3355 PENNY LN, MARION, IA 52302-9048
(515) 290-4541
(712) 248-8621
Mailing address
3355 PENNY LN, MARION, IA 52302-9048
(712) 248-8621
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
01/27/2024
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