Individual
MRS. LISA MARIE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-2800
(740) 922-7483
Mailing address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-2800
(740) 922-7483
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5131
OH
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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