National Provider Identifier
Lisa Wert, RDN, CDN
Lisa Wert, RDN, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Elmira, NY and a listed phone number of (607) 737-4934.
Profile Overview
- NPI
- 1194286385
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- March 29, 2019
- Last Updated
- March 29, 2019
Practice Location
- 100 Washington St Bldg 1
- Elmira, NY 14901-2849
Phone: (607) 737-4934
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1194286385
- Entity Type
- Individual
- Last Name
- Wert
- First Name
- Lisa
- Credential
- RDN, CDN
- Mailing Street Address
- 100 Washington St Bldg 1
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2849
- Mailing Country
- US
- Mailing Phone
- (607) 737-4934
- Mailing Fax
- (607) 737-4956
- Practice Street Address
- 100 Washington St Bldg 1
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2849
- Practice Country
- US
- Practice Phone
- (607) 737-4934
- Practice Fax
- (607) 737-4956
- Enumeration Date
- March 29, 2019
- Last Updated
- March 29, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)