Individual
ANN M LISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
618 N MULBERRY ST, CRESTON, IA 50801-1723
(641) 202-0794
Mailing address
618 N MULBERRY ST, CRESTON, IA 50801-1723
(641) 202-0794
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01602
IA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
About Stedi
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