Individual
MS. LISA KIESER DIEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
552 EXTON CMNS, EXTON, PA 19341-2452
(610) 347-2045
Mailing address
118 CHRISTINE DR, DOWNINGTOWN, PA 19335-1518
(610) 864-3430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002683
PA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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