Individual
LYDIA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3441
Mailing address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3696-29
WI
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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