Individual
MRS. LISA STANEK VANDER WEERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2034 S XENIA WAY, DENVER, CO 80231-3361
(608) 320-5472
Mailing address
2034 S XENIA WAY, DENVER, CO 80231-3361
(608) 320-5472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1039462
KY
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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