Individual
LISA HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4778 N 300 W STE 100, PROVO, UT 84604-7709
(801) 376-0334
Mailing address
386 W 1400 N, AMERICAN FORK, UT 84003-2793
(801) 376-0334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
837876
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
837876
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
03/25/2022
Last updated
03/25/2022
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