Individual
MS. LISA ANN BUCHWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(716) 997-3303
Mailing address
44 W OHIO AVE, RITTMAN, OH 44270-1432
(716) 997-3303
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346437852
NPI
OH
Enumeration date
09/28/2007
Last updated
07/19/2011
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