National Provider Identifier
Lisa Gebauer Smith, RD, CDN
Lisa Gebauer Smith, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Lockport, NY and a listed phone number of (716) 438-4031.
Profile Overview
- NPI
- 1053819037
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- January 25, 2018
- Last Updated
- January 25, 2018
Practice Location
- 111 Main St
- Lockport, NY 14094-3718
Phone: (716) 438-4031
Mailing Address
- 1058 E Robinson St
- North Tonawanda, NY 14120-4800
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1053819037
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Lisa
- Middle Name
- Gebauer
- Credential
- RD, CDN
- Mailing Street Address
- 1058 E Robinson St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-4800
- Mailing Country
- US
- Mailing Phone
- (716) 694-5112
- Practice Street Address
- 111 Main St
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-3718
- Practice Country
- US
- Practice Phone
- (716) 438-4031
- Enumeration Date
- January 25, 2018
- Last Updated
- January 25, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)