Individual
MRS. LISA KAY DOVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2910
Mailing address
7601 E 80TH ST, INDIANAPOLIS, IN 46256-1645
(317) 842-2771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000330A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37000330A
STATE CERTIFICATION #
IN
01
—
490454
ADA NUMBER
IN
Enumeration date
08/23/2006
Last updated
07/08/2007
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