Individual
MRS. LISA MARIE EULISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
4907 NIAGARA RD STE 102, COLLEGE PARK, MD 20740-1100
(301) 412-1307
Mailing address
7109 LIMESTONE LN, MIDDLETOWN, MD 21769-7534
(301) 412-1307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3196
MD
Other
Enumeration date
02/17/2012
Last updated
11/03/2022
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