Lisa Marie Werner I, RD, CD
Dietitian, Registered in Tacoma, WA. Individual provider (NPI-1).
NPI number1033431663
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1033431663
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Marie Werner I
- Credential
- RD, CD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2010
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI 00000736 | WA | Yes |
Practice location
2104 N 30th St Ste BTacoma, WA 98403-3341
Phone 253-279-6771 · Fax 253-383-3615
Mailing address
727 N C StTacoma, WA 98403-2812
Phone 253-279-6771 · Fax 253-383-3615
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