Individual
LISA LOUDEN WITHEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, FDN-P
Contact information
Practice address
4997 CAMBRIA WAY, WESTERVILLE, OH 43081
(614) 378-2092
Mailing address
4997 CAMBRIA WAY, WESTERVILLE, OH 43081-6633
(614) 378-2092
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
05/12/2010
Last updated
02/27/2025
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