Smith, Lisa Gebauer

Smith, Lisa Gebauer is an sole proprietor health care provider with primary practice located at 111 Main St , Lockport NY 14094-3718. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Smith, Lisa Gebauer can be contacted via phone (716) 438-4031.

Contact Information

Primary practice address
111 Main St Lockport NY 14094-3718
Phone: (716) 438-4031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X R577673 New York

Profile Details

NPI number 1053819037
LBN Legal business name Smith, Lisa Gebauer
Credentials RD,CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2018
Last updated Jan 25th, 2018 - about 6 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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