Individual
MRS. LISA MARIE HAGGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3625
Mailing address
1258 AUBURN LAKES DR, VIERA, FL 32955-6782
(321) 690-2682
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4168
FL
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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