Bacon, Lisa Anne

Bacon, Lisa Anne is an individual health care provider with primary practice located at 1224 W Roosevelt Blvd , Monroe NC 28110-2820. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Bacon, Lisa Anne can be contacted via phone (704) 296-4891.

Contact Information

Primary practice address
1224 W Roosevelt Blvd Monroe NC 28110-2820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L004760 North Carolina
Dietary & Nutritional Service Providers / Nutritionist 133N00000X L004760 North Carolina

Profile Details

NPI number 1699292433
LBN Legal business name Bacon, Lisa Anne
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2017
Last updated Aug 23rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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