Individual
LISA WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3355 PENNY LN, MARION, IA 52302-9048
(515) 290-4541
Mailing address
3355 PENNY LN, MARION, IA 52302-9048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1023771
—
Other
Enumeration date
02/05/2021
Last updated
01/27/2024
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