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Lisa Marie Diers, RD, LD

Dietitian, Registered in Burnsville, MN. Individual provider (NPI-1).

NPI number1376592121
StatusActive
Last updated in NPPESMay 22, 2008

Details

NPI
1376592121
Entity type
Individual (NPI-1)
Name
Lisa Marie Diers
Credential
RD, LD
Sex
Female
Sole proprietor
No
Enumeration date
May 9, 2006
Last updated
May 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered2526MNYes

Practice location

201 E Nicollet Blvd
Burnsville, MN 55337-5714

Phone 952-892-2191

Mailing address

201 E Nicollet Blvd
Burnsville, MN 55337-5714

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