Root, Lisa M

Root, Lisa M is an individual health care provider with primary practice located at 12 S 8Th St , Yakima WA 98901-3020. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Case Manager/Care Coordinator. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Root, Lisa M can be contacted via phone (509) 454-4143.

Contact Information

Primary practice address
12 S 8Th St Yakima WA 98901-3020
Phone: (509) 454-4143
Fax: (509) 454-3651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI60329510 Washington
Other Service Providers / Case Manager/Care Coordinator 171M00000X DI60329510 Washington

Profile Details

NPI number 1679812416
LBN Legal business name Root, Lisa M
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2013
Last updated Apr 21st, 2017 - about 9 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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