NPI 1477387264 · live from the CMS NPI Registry
Lisa Michelle Brown
Dietitian, Registered in Lafayette, IN. National Provider Identifier 1477387264, active.
NPI record
| NPI | 1477387264 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 471 Cormorant Ct, Lafayette, IN 47909 |
| Practice phone | 765-490-2477 |
| Enumerated | August 26, 2024 |
| Last updated | August 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.