Individual
LISA A WEIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15 HWY 50, STATELINE, NV 89449-0000
(775) 586-5000
(775) 586-5055
Mailing address
15 HWY 50, STATELINE, NV 89449-0000
(775) 586-5000
(775) 586-5055
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
39472-DI-0
NV
Other
Enumeration date
03/23/2017
Last updated
11/20/2018
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