Lisa Woodruff Nutrition, Llc | |
3355 Penny Ln Marion IA 52302-9048 | |
(515) 290-4541 | |
(712) 248-8621 |
Full Name | Lisa Woodruff Nutrition, Llc |
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Speciality | Clinic/center |
Location | 3355 Penny Ln, Marion, Iowa |
Authorized Official Name and Position | Lisa Woodruff (REGISTERED DIETITIAN & OWNER) |
Authorized Official Contact | 5152904541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lisa Woodruff Nutrition, Llc 3355 Penny Ln Marion IA 52302-9048 Ph: () - | Lisa Woodruff Nutrition, Llc 3355 Penny Ln Marion IA 52302-9048 Ph: (515) 290-4541 |
NPI Number | 1629830393 |
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Provider Enumeration Date | 01/29/2024 |
Last Update Date | 01/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629830393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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