Rose, Lisa Ann

Rose, Lisa Ann is an sole proprietor health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0002. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Rose, Lisa Ann can be contacted via phone (309) 672-4954.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0002
Phone: (309) 672-4954
Fax: (309) 672-4953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Illinois

Profile Details

NPI number 1205050473
LBN Legal business name Rose, Lisa Ann
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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