Fuller, Lisa Ellen
Fuller, Lisa Ellen is an sole proprietor health care provider with primary practice located at 3802 Sevierville Pike # 2 , Knoxville TN 37920-4551. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Fuller, Lisa Ellen can be contacted via phone (540) 293-3273.Contact Information
Primary practice address
3802 Sevierville Pike # 2
Knoxville TN 37920-4551
Phone: (540) 293-3273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 2282 | Tennessee |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1000893 | Tennessee |
Profile Details
NPI number | 1457958746 |
---|---|
LBN Legal business name | Fuller, Lisa Ellen |
Credentials | MS, RD, LDN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 8th, 2020 |
Last updated | Oct 8th, 2020 - about 5 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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