| Lisa Lauritzen Smith, RDN | |
|
625 E Broadway Ave, Jackson, WY 83001-8642 | |
| (307) 739-7357 | |
| Not Available |
| Full Name | Lisa Lauritzen Smith |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 625 E Broadway Ave, Jackson, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104464734 | NPI | - | NPPES |
| 155572300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 071 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Lauritzen Smith, RDN Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-7357 | Lisa Lauritzen Smith, RDN 625 E Broadway Ave, Jackson, WY 83001-8642 Ph: (307) 739-7357 |
Therese Lowe Metherell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 557 East Broadway, Jackson, WY 83001 Phone: 307-733-5344 Fax: 307-733-5344 | |
Michelle Robertson, Dietitian Medicare: Medicare Enrolled Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7361 | |
Sarah J Peterson, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Ste 201, Jackson, WY 83001 Phone: 307-739-7634 Fax: 307-739-7632 | |
Olivia Louise Mountcastle, RDN LDN MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7361 | |
Mrs. Catherine Holland, RD, CDE, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Suite 114, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701 | |
Maureen Patricia Molinari, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4234 Melody Ranch Drive, Pob 10592, Jackson, WY 83002 Phone: 307-203-2429 |