Individual
LISA MIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSP, LDN
Contact information
Practice address
CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, 3333 BURNET AVENUE, ML 5043, CINCINNATI, OH 45229-3026
(513) 636-4211
(513) 636-5887
Mailing address
CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, 3333 BURNET AVENUE, ML 5043, CINCINNATI, OH 45229-3026
(513) 636-4211
(513) 636-5887
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
L002586
NC
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
LD.08393
OH
Other
Enumeration date
03/15/2013
Last updated
12/01/2021
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