Individual
KATHERINE LALISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
3239 CORNWALL DR, HOOVER, AL 35226-2607
(205) 585-0694
(205) 978-3760
Mailing address
3239 CORNWALL DR, HOOVER, AL 35226-2607
(205) 585-0694
(205) 978-3760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
979
AL
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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