| Doctor Name: | KRYSTLE E LIEBERMAN |
| NPI Number: | 1699093021 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.C., R.D. |
| License Number: | 2716 |
| Business Practice Address: | 5801 Duluth St Suite 150 Golden Valley, MN - 554223958 |
| Business Phone Number: | 7365411280 |
| Business Fax Number: | 7635411012 |
| Mailing Address: | 5801 Duluth St, Suite 150 GOLDEN VALLEY |
| State: | MN |
| Postal Code: | 554223958 |
| Phone Number: | 7365411280 |
| Fax Number: | 7635411012 |
| NPI Enumeration Date: | 05/10/2010 |
| NPI Last Update Date: | 05/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2716 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| 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 |