Individual
LISA M STITZLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D./L.D./M.ED.
Contact information
Practice address
1456 PARK AVE W, RM. 122, MANSFIELD, OH 44906-2700
(419) 529-4602
(419) 529-4664
Mailing address
2415 COUNTY ROAD 377, LOUDONVILLE, OH 44842-9302
(419) 529-4602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.1970
OH
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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