Individual
MS. LISA ANNE ASHWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5464
(920) 568-6555
Mailing address
301 STONE TER, MONONA, WI 53716-3121
(608) 225-7725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1898-29
WI
133V00000X
Registered Dietitian
952605
WI
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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