Individual
LISA WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5466 RUSTIC AVE, FIRESTONE, CO 80504-5910
(303) 525-0831
Mailing address
5466 RUSTIC AVE, FIRESTONE, CO 80504-5910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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