Individual
LISA WERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
100 WASHINGTON ST BLDG 1, ELMIRA, NY 14901-2849
(607) 737-4934
(607) 737-4956
Mailing address
100 WASHINGTON ST BLDG 1, ELMIRA, NY 14901-2849
(607) 737-4934
(607) 737-4956
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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