Lisa Michelle Supplee-pulliam R.D., L.D.

NPI 1164743126 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1164743126
Gender Female
Enumeration Date 06/14/2010
Last Updated 06/14/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
299 KINGS DAUGHTERS DR
FRMC
FRANKFORT KY, 40601-6514, US
Phone (502) 226-7839
Fax (502) 226-7936
Business Location
299 KINGS DAUGHTERS DR
FRMC
FRANKFORT KY, 40601-6514, US
Phone (502) 226-7839
Fax (502) 226-7936
Toxanomy
Taxonomy Code 133V00000X
License State Kentucky
License Number KY-1792
Remove 1164743126 NPI Number
 

According to our database, Ms. Lisa Michelle Supplee-pulliam R.D., L.D. NPI is 1164743126, taxonomy code is 133V00000X and license number is KY-1792, license state is located at Kentucky. Lisa Michelle Supplee-pulliam R.D., L.D. physically located at 299 Kings Daughters Dr, Frankfort KY, 40601-6514. NPI Number Lisa Michelle Supplee-pulliam R.D., L.D. has the Individual type.

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1164743126 NPI number is provided on an as is basis without warranty of any kind. 1164743126 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Michelle Supplee-pulliam R.D., L.D. are for informational purposes only.