Individual
LISA WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1175 CHAPEL HILLS DR, COLORADO SPRINGS, CO 80920-3952
(740) 591-2581
Mailing address
14 VIA SIERRA GRANDE, MANITOU SPRINGS, CO 80829-2433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1096574
—
Other
Enumeration date
11/18/2019
Last updated
04/14/2025
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