Individual
MS. LISA SUE GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LMNT
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
(402) 977-5603
Mailing address
2108 HEDGE APPLE RD, PLATTSMOUTH, NE 68048-5675
(402) 346-8800
(402) 977-5603
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
655
NE
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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