Doctor Name: | MRS. MONIQUE L LISOWSKI |
NPI Number: | 1932353406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | ND 4795 |
Business Practice Address: | 4231 South Pipkin Road Lakeland, FL - 33811 |
Business Phone Number: | 8633234194 |
Business Fax Number: | |
Mailing Address: | 13000 Bruce B Downs Blvd, Attn: Lakeland Cboc Clinic TAMPA |
State: | FL |
Postal Code: | 336124745 |
Phone Number: | 8139722000 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2008 |
NPI Last Update Date: | 08/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND 4795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |