Lisa Denise Theroux REGISTERED DIETITIAN

NPI 1730115064 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1730115064
Gender Female
Enumeration Date 06/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5051 PRINCE VALIANT
SAN ANTONIO TX, 78218-2707, US
Phone (210) 653-8364
Fax
Business Location
5051 PRINCE VALIANT
SAN ANTONIO TX, 78218-2707, US
Phone (210) 653-8364
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Texas
License Number LD DT04513
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According to our database, Mrs. Lisa Denise Theroux REGISTERED DIETITIAN NPI is 1730115064, taxonomy code is 133V00000X and license number is LD DT04513, license state is located at Texas. Lisa Denise Theroux REGISTERED DIETITIAN physically located at 5051 Prince Valiant, San Antonio TX, 78218-2707. NPI Number Lisa Denise Theroux REGISTERED DIETITIAN has the Individual type.

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1730115064 NPI number is provided on an as is basis without warranty of any kind. 1730115064 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Denise Theroux REGISTERED DIETITIAN are for informational purposes only.