MISS Lisa Marie Bushman

NPI #1588674881 in Buryrus, Ohio

Provider Information

NPI Number: 1588674881
Entity Type: Individual
Name: MISS Lisa Marie Bushman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Aug 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 629 N SANDUS KY AVE
City: Buryrus
State: Ohio
ZIP Code: 44820
Phone: (419) 562-4677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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