Rose, Lisa Ann
Rose, Lisa Ann is an sole proprietor health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0002. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Rose, Lisa Ann can be contacted via phone (309) 672-4954.Contact Information
Primary practice address
221 Ne Glen Oak Ave
Peoria IL 61636-0002
Phone: (309) 672-4954
Fax: (309) 672-4953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | Illinois |
Profile Details
| NPI number | 1205050473 |
|---|---|
| LBN Legal business name | Rose, Lisa Ann |
| Credentials | RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Popular Providers
-
Anderson, Tracy R
221 Ne Glen Oak Ave , Peoria IL 61636-0002 -
Argenta, Ruth D.
500 W Romeo B Garrett Ave , Peoria IL 61605-2301 -
Zuercher, Tricia L.
530 Ne Glen Oak Ave , Peoria IL 61637-0001 -
Miller, Holly Lynn
221 Ne Glen Oak Ave , Peoria IL 61636-0002 -
Collet, Kelly M.
530 Ne Glen Oak Ave , Peoria IL 61637-0001 -
Schoonover, Kate Janelle
221 Ne Glen Oak Ave , Peoria IL 61636-0001 -
Yee, Jeri L.
4911 N Executive Dr Maternal Fetal Diagnostic Center, Peoria IL 61614-4896 -
George, Kelly M
530 Ne Glen Oak Ave , Peoria IL 61637-0001