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Individual

LISA M CARDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CD,

Contact information

Practice address
1515 PARK AVENUE, COLUMBUS, WI 53925-2402
(920) 623-1244
(920) 623-3546
Mailing address
1515 PARK AVENUE, COLUMBUS, WI 53925-2402
(920) 623-1244
(920) 623-1250

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
936-29
WI

Other

Enumeration date
12/19/2012
Last updated
12/21/2012
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