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Individual

MRS. LISA CICCIARELLO ANDREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, RD, LD

Contact information

Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
5746 MARMION LN, CINCINNATI, OH 45212-1925
(513) 631-1910

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3151
OH

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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