MISS Lisa M Kovalek

NPI #1093765257 in Travis Afb, California

Provider Information

NPI Number: 1093765257
Entity Type: Individual
Name: MISS Lisa M Kovalek
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: May 10, 2006
Last Updated: Dec 5, 2007

Practice Location

Address: 105 BODIN CIR
City: Travis Afb
State: California
ZIP Code: 94535-1801
Phone: (916) 833-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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