Individual
MRS. KRISTINA K. LAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
(920) 623-1441
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
(920) 623-1441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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