Doctor Name: | LISA M STARK |
NPI Number: | 1083869879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 001838 |
Business Practice Address: | 5019 S Western Ave Ste 200 Sioux Falls, SD - 571085155 |
Business Phone Number: | 6053289700 |
Business Fax Number: | 6053289701 |
Mailing Address: | Po Box 5074, SIOUX FALLS |
State: | SD |
Postal Code: | 571175074 |
Phone Number: | 6053289700 |
Fax Number: | 6053289701 |
NPI Enumeration Date: | 11/21/2008 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 001838 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |