Joan Pietron Carlisle, LRD

NPI #1629221395 in Fargo, North Dakota

Provider Information

NPI Number: 1629221395
Entity Type: Individual
Name: Joan Pietron Carlisle, LRD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: LRD
Enumeration Date: Oct 28, 2008
Last Updated: Oct 28, 2008

Practice Location

Address: 2121 ELM STREET NORTH
Address 2: FARGO VA MEDICAL CENTER
City: Fargo
State: North Dakota
ZIP Code: 58102
Phone: (701) 239-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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