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Individual

LISA K HELLEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LRD

Contact information

Practice address
1690 UNIVERSITY AVE W, STE 370, SAINT PAUL, MN 55104-3723
(651) 232-6929
(651) 326-8170
Mailing address
1690 UNIVERSITY AVE W, STE 370, SAINT PAUL, MN 55104-3723
(651) 232-6929
(651) 326-8170

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3076
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417215880
MN
Enumeration date
04/24/2012
Last updated
01/28/2015
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