Individual
MRS. LISA GAIL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
6401 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN 55432-4341
(763) 502-4877
(763) 856-6906
Mailing address
6401 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN 55432-4341
(763) 502-4877
(763) 856-6906
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1036
MN
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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