Individual
MS. LISA MARIE WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
7 GEMINI DR, KEENE, NH 03431-4831
(908) 303-3109
Mailing address
7 GEMINI DR, KEENE, NH 03431-4831
(908) 303-3109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
074.0134253
VT
133V00000X
Registered Dietitian
Primary
1029
NH
133V00000X
Registered Dietitian
4920
MA
Other
Enumeration date
01/01/2026
Last updated
01/01/2026
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