Individual
MS. LISA P HAVERSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN,CNSC,FAND
Contact information
Practice address
435 SOUTH ST STE 330, MORRISTOWN, NJ 07960-6472
(973) 971-7101
(973) 290-7518
Mailing address
435 SOUTH ST STE 330, MORRISTOWN, NJ 07960-6472
(973) 971-7101
(973) 290-7518
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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