Individual
MRS. LISA REITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
801 E CARPENTER ST, SPRINGFIELD, IL 62702-5305
(217) 544-6464
(217) 757-6871
Mailing address
801 E CARPENTER ST, SPRINGFIELD, IL 62702-5305
(217) 544-6464
(217) 757-6871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004574
IL
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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