Individual
LISA MEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
40445 AEROVILLA RD, PERHAM, MN 56573-8652
(218) 298-2036
Mailing address
40445 AEROVILLA RD, PERHAM, MN 56573-8652
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5426
MN
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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