Individual
LISA ELLEN EICHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LDIN
Contact information
Practice address
58 MIRACLE MILE, CORAL GABLES, FL 33134-5404
(305) 445-4959
(305) 443-6116
Mailing address
58 MIRACLE MILE, CORAL GABLES, FL 33134-5404
(305) 445-4959
(305) 443-6116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1266
FL
Other
Enumeration date
10/18/2005
Last updated
03/02/2015
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