Sprouse, Lisa
Sprouse, Lisa is an sole proprietor health care provider with primary practice located at 4423 Saddle Spur , San Antonio TX 78253-4487. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Sprouse, Lisa can be contacted via phone (210) 215-5653.Contact Information
Primary practice address
4423 Saddle Spur
San Antonio TX 78253-4487
Phone: (210) 215-5653
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DT06434 | Texas |
Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | DT06434 | Texas |
Profile Details
NPI number | 1942989389 |
---|---|
LBN Legal business name | Sprouse, Lisa |
Credentials | MS, RDN, LD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 13th, 2023 |
Last updated | Dec 4th, 2023 - about 2 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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