Individual
LISA SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(419) 595-0789
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(419) 595-0789
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/22/2007
Last updated
04/28/2025
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