Doctor Name: | LISA M MILLER |
NPI Number: | 1992959654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.D. |
License Number: | 2091-029 |
Business Practice Address: | 5409 Everybodys Road Forest County Potawatomi Health & Wellness Center Crandon, WI - 54520 |
Business Phone Number: | 7154784362 |
Business Fax Number: | 7154784490 |
Mailing Address: | Po Box 396, CRANDON |
State: | WI |
Postal Code: | 54520 |
Phone Number: | 7154784300 |
Fax Number: | 7154784499 |
NPI Enumeration Date: | 11/07/2008 |
NPI Last Update Date: | 11/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2091-029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |