Lisa Davis, RDN
NPI #1548834013 in Malad City, Idaho
Provider Information
- NPI Number
- 1548834013
- Entity Type
- Individual
- Name
- Lisa Davis, RDN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RDN
- Enumeration Date
- May 18, 2021
- Last Updated
- May 18, 2021
Practice Location
- Address
- 5054 S 4600 W
- City
- Malad City
- State
- Idaho
- ZIP Code
- 83252-6551
- Phone
- (719) 290-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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