Mrs Lisa A Hubbard, RD,LD | |
7237 Janet St, Houston, TX 77055-6930 | |
(706) 473-2855 | |
Not Available |
Full Name | Mrs Lisa A Hubbard |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 7237 Janet St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033440235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT86573 (Texas) | Secondary |
133V00000X | Dietitian, Registered | LD001250 (Georgia) | Primary |
Provider Name | Oconee Nutrition Consultants, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780903096 PECOS PAC ID: 0648466284 Enrollment ID: O20101122001318 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa A Hubbard, RD,LD 7237 Janet St, Houston, TX 77055-6930 Ph: (706) 473-2855 | Mrs Lisa A Hubbard, RD,LD 7237 Janet St, Houston, TX 77055-6930 Ph: (706) 473-2855 |
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