NPI 1275833014 · live from the CMS NPI Registry
Lisa Michelle Kerzicnik, RD
Dietitian, Registered in Kahului, HI. National Provider Identifier 1275833014, active.
NPI record
| NPI | 1275833014 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 12 Apa'A Place, Kahului, HI 96732 |
| Practice phone | 808-871-9757 |
| Enumerated | October 27, 2010 |
| Last updated | October 27, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 864716 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.