Individual
DEBORAH KAY LISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-2551
(612) 727-5997
Mailing address
2791 WIMBLEDON RDG, WOODBURY, MN 55125-3552
(651) 731-0794
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1219
MN
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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