Lisa Mire, RD, CSP, LDN
Dietitian, Registered, Nutrition, Pediatric in Columbus, OH. Individual provider (NPI-1).
NPI number1487995486
StatusActive
Last updated in NPPESJul 2, 2026
Details
- NPI
- 1487995486
- Entity type
- Individual (NPI-1)
- Name
- Lisa Mire
- Credential
- RD, CSP, LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2013
- Certification date
- Jul 2, 2026
- Last updated
- Jul 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | LD.08393 | OH | Yes |
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | L002586 | NC |
Practice location
700 Childrens DrColumbus, OH 43205-2639
Phone 614-722-6415
Mailing address
700 Childrens DrColumbus, OH 43205-2639
Phone 614-722-6415
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All 12 Pediatric Nutrition Registered Dietitian providers in Columbus · All 44,944 providers in Columbus
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