Individual
MS. LISA CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.N.S.C.
Contact information
Practice address
920 FOREST LAKE DR APT 304, VIRGINIA BEACH, VA 23464-3646
(303) 249-9350
Mailing address
920 FOREST LAKE DR APT 304, VIRGINIA BEACH, VA 23464-3646
(303) 249-9350
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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