Individual
MRS. LISA STOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1901 RUDY LN STE 5, LOUISVILLE, KY 40207-1384
(502) 475-9721
Mailing address
1901 RUDY LN STE 5, LOUISVILLE, KY 40207-1384
(502) 475-9721
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
896399
KY
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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