Individual
LISA LYN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD, CBE, CSOWM
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7644
Mailing address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1308
KS
Other
Enumeration date
11/24/2009
Last updated
08/19/2021
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