National Provider Identifier
Lisa M. Bradt, RD, CSR, CDN
Lisa M. Bradt, RD, CSR, CDN is listed in the NPPES registry with a primary specialty of Renal Nutrition Registered Dietitian in Buffalo, NY and a listed phone number of (716) 903-3730.
Profile Overview
- NPI
- 1023282738
- Provider Type
- Individual
- Primary Specialty
- Renal Nutrition Registered Dietitian
- Enumeration Date
- April 15, 2008
- Last Updated
- May 13, 2008
Practice Location
- 300 Delaware Ave
- Suite 100
- Buffalo, NY 14202-1807
Phone: (716) 903-3730
Mailing Address
- 4490 Seneca St
- West Seneca, NY 14224-3139
Specialties
- Renal Nutrition Registered Dietitian (133VN1005X)
Full Record
- NPI
- 1023282738
- Entity Type
- Individual
- Last Name
- Bradt
- First Name
- Lisa
- Middle Name
- M.
- Name Prefix
- Mrs.
- Credential
- RD, CSR, CDN
- Mailing Street Address
- 4490 Seneca St
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3139
- Mailing Country
- US
- Mailing Phone
- (716) 677-0102
- Practice Street Address
- 300 Delaware Ave
- Practice Address Line 2
- Suite 100
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1807
- Practice Country
- US
- Practice Phone
- (716) 903-3730
- Enumeration Date
- April 15, 2008
- Last Updated
- May 13, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Renal Nutrition Registered Dietitian (133VN1005X)