Individual
MRS. LISA ANN KOPECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.N.
Contact information
Practice address
2905 3RD AVE SE, ABERDEEN, SD 57401
(605) 626-4252
(605) 626-4251
Mailing address
2905 3RD AVE SE, ABERDEEN, SD 57401-5420
(605) 626-4252
(605) 626-4251
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0075
SD
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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