Individual
LISA MARIE FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
648 AVENUE I NW, WINTER HAVEN, FL 33881-4080
(863) 224-3545
Mailing address
648 AVENUE I NW, WINTER HAVEN, FL 33881-4080
(863) 224-3545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4621
FL
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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