Lisa M Grentz, RD | |
11703 E Sprague Ave Ste C3, Attn: Vienna Stewart, Spokane Valley, WA 99206-6129 | |
(509) 921-6560 | |
Not Available |
Full Name | Lisa M Grentz |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 11703 E Sprague Ave Ste C3, Spokane Valley, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164680849 | NPI | - | NPPES |
8267353 | Other | WA | PROVIDER NUMBER |
9051731 | Medicaid | WA | |
851519 | Other | WA | ADA NUMBER |
DI00001146 | Other | WA | WA CERTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DI00001146 (Washington) | Primary |
Provider Name | Public Hospital District #1-a Of Whitman County |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Grentz, RD 2301 W Ashley Ave, Spokane, WA 99208-9284 Ph: (509) 921-6560 | Lisa M Grentz, RD 11703 E Sprague Ave Ste C3, Attn: Vienna Stewart, Spokane Valley, WA 99206-6129 Ph: (509) 921-6560 |
Dana Sitts, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206 Phone: 509-924-1826 | |
Mrs. Erin Marie Kuh, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12929 E Sprague Ave, Suite 104, Spokane Valley, WA 99216 Phone: 509-496-9998 Fax: 509-891-2368 | |
Briley Cariagain Peters, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826 | |
Olivia Wooliver Jones, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826 | |
Rebecca Renae Lonam, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 N Evergreen Rd, Spokane Valley, WA 99216 Phone: 509-228-3528 | |
Keisha Engley, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1212 N Pines Rd, Spokane Valley, WA 99206 Phone: 509-893-8140 Fax: 509-227-7070 | |
Simone R Pappalardo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826 |