Knoll, Lisa S

Knoll, Lisa S is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Knoll, Lisa S can be contacted via phone (717) 782-5283.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101-2010
Phone: (717) 782-5283
Fax: (717) 782-5192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DN000007 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN000007 Pennsylvania

Profile Details

NPI number 1487000279
LBN Legal business name Knoll, Lisa S
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2016
Last updated Sep 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487000279 NPPES
Pennsylvania MEDICAID 103125389

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