Individual
MS. LISA MICHELLE SUPPLEE-PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
299 KINGS DAUGHTERS DR, FRMC, FRANKFORT, KY 40601-6514
(502) 226-7839
(502) 226-7936
Mailing address
299 KINGS DAUGHTERS DR, FRMC, FRANKFORT, KY 40601-6514
(502) 226-7839
(502) 226-7936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1792
KY
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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