Search › Idaho › 133V00000X
Lisa Davis, RDN
NPI 1548834013 · on the registry since 2021
Practice
- Address
- 5054 S 4600 W
Malad City, ID 83252 - Phone
- (719) 290-8113
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho