Individual
LISA MARIE DIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2191
Mailing address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2526
MN
Other
Enumeration date
05/09/2006
Last updated
05/22/2008
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