NPI 1003404740

Lisa Marie Herzberg, RD

Practitioner Registered Dietitian Milwaukee, WI

Practice location

Address: 2301 N Lake Dr, Milwaukee, WI 53211-4508
Phone: (414) 291-1316

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86156828 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1003404740
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2021
Record last updated: 22 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.