Individual
LISA JEAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
13013 COUNTY ROAD 171, DANBURY, TX 77534-9749
(979) 848-7870
Mailing address
13013 COUNTY ROAD 171, DANBURY, TX 77534-9749
(979) 848-7870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80790
TX
Other
Enumeration date
10/12/2018
Last updated
02/07/2020
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