Individual
MS. LISA MCDEARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(330) 305-0843
Mailing address
2810 MISSENDEN ST NW, NORTH CANTON, OH 44720-8213
(330) 305-0843
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 1642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
596055
COMMISSION ON DIETETIC REGISTRATION OF THE AMER. DIETETIC ASSN.
OH
01
—
LD 1642
OHIO BOARD OF DIETETICS
OH
Enumeration date
12/01/2011
Last updated
06/10/2013
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