Individual
LISA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CDCES
Contact information
Practice address
914 MUIRFIELD DR, MOORESVILLE, NC 28115-3447
(704) 591-0062
Mailing address
914 MUIRFIELD DR, MOORESVILLE, NC 28115-3447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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