| Lisa M Kruse, RD | |
|
410 W 10th Ave, Columbus, OH 43210-1240 | |
| (614) 293-8036 | |
| (614) 293-3780 |
| Full Name | Lisa M Kruse |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 410 W 10th Ave, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861075798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD.3772 (Ohio) | Primary |
| Provider Name | Osu Surgery, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538117551 PECOS PAC ID: 0941105266 Enrollment ID: O20031201000377 |
| Provider Name | Osu General Internal Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Kruse, RD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-8036 | Lisa M Kruse, RD 410 W 10th Ave, Columbus, OH 43210-1240 Ph: (614) 293-8036 |
Kearson Petruzzi, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 186 E Norwich Ave Apt A, Columbus, OH 43201 Phone: 330-621-8611 | |
Ms. Therese Smith, RDN, LD, ACSM-EP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1925 Aschinger Blvd, Columbus, OH 43212 Phone: 330-907-9594 | |
Mrs. Dawn M. Holmes, MS, RD, CSSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3705 Olentangy River Rd, Suite 260, Columbus, OH 43214 Phone: 614-566-2786 Fax: 614-533-6609 | |
Mrs. Kaleigh Michel Tjoelker, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8036 | |
Corinne Barnhart, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1087 Dennison Ave, Columbus, OH 43201 Phone: 614-484-9668 | |
Sheela S Thomas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 450 West Tenth Avenue, Dept Of Nutrition 9-07 Rhodes Hall, Columbus, OH 43210 Phone: 614-293-2300 Fax: 614-293-3740 | |
Heather Colleen Mccormick, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1699 W Mound St, Columbus, OH 43223 Phone: 614-437-2880 Fax: 614-278-3143 |