Individual
LISA MARIE GIERACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
(608) 203-4544
Mailing address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
(608) 203-4544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
951249
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1914-029
CERTIFIED DIETITIAN
NE
Enumeration date
01/19/2010
Last updated
01/19/2010
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