Individual
MRS. LISA S TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
811 E PARRISH AVE STE 102, OWENSBORO, KY 42303-3258
(270) 688-2077
(270) 688-2078
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
239896
KY
133V00000X
Registered Dietitian
719491
IL
133V00000X
Registered Dietitian
DN002193
PA
Other
Enumeration date
03/24/2014
Last updated
08/08/2023
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