NPI 1902039548 · live from the CMS NPI Registry
Lisa Gail Brown, RD,LD,CDE
Dietitian, Registered in Fridley, MN. National Provider Identifier 1902039548, active.
NPI record
| NPI | 1902039548 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6401 University Ave Ne, Suite 200, Fridley, MN 55432 |
| Practice phone | 763-502-4877 |
| Enumerated | August 31, 2009 |
| Last updated | August 31, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1036 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.